Organization
BEHAVIORAL HEALTH AND THERAPY CLINIC
Active
Other names
Behavioral Health and Therapy Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
MR. AMAOBI HARDY AGBOR (AUTHORIZED OFFICIAL)
(301) 693-2207
Entity
Organization
Contact information
Practice address
12501 PROSPERITY DR STE 330, SILVER SPRING, MD 20904-1655
(240) 899-5315
(240) 645-4013
Mailing address
12501 PROSPERITY DR STE 330, SILVER SPRING, MD 20904-1655
(240) 899-5315
(240) 645-4013
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
07/21/2020
Last updated
10/02/2020
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