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Organization

COMPASSION COMMUNITY SERVICES, INC

Active
Other names
NONE, N/A
Organization subpart
No

Provider details

NPI number
Authorized official
CLIFFORD KIBANG (CEO)
(240) 413-1428
Entity
Organization

Contact information

Practice address
963 RUSSELL AVE STE D963, GAITHERSBURG, MD 20879-3287
(240) 413-1428
(240) 386-1197
Mailing address
963 RUSSELL AVE STE D, GAITHERSBURG, MD 20879-3287
(240) 413-1428
(240) 386-1197

Taxonomy

Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary

Other

Enumeration date
02/18/2025
Last updated
02/18/2025
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