Organization
KIRSTIN'S HAVEN, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. STEPHEN FONCHAM (PRESIDENT/CEO)
(240) 392-2876
Entity
Organization
Contact information
Practice address
5801 ALLENTOWN RD STE 310&311, CAMP SPRINGS, MD 20746-4563
(240) 392-2876
(240) 838-3015
Mailing address
5801 ALLENTOWN RD STE 310&311, CAMP SPRINGS, MD 20746-4563
(240) 392-2876
(240) 838-3015
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
09/08/2016
Last updated
04/02/2025
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