Organization
AGE WELL TAKOMA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATHLEEN GARBER LICSW, LCSW-C (FOUNDER AND PRINCIPAL)
(301) 785-4998
Entity
Organization
Contact information
Practice address
22 SHERMAN AVE, TAKOMA PARK, MD 20912-5742
(301) 785-4998
Mailing address
22 SHERMAN AVE, TAKOMA PARK, MD 20912-5742
(301) 785-4998
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
12/07/2020
Last updated
12/07/2020
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