Organization
KIMBROUGH AMBULATORY CARE CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. NAHIDA HADEESH LICSW (CLINICAL SOCIAL WORKER)
(301) 677-8586
Entity
Organization
Contact information
Practice address
2480 LLEWELLYN AVE, FORT MEADE, MD 20755-5800
(301) 677-8586
Mailing address
2480 LLEWELLYN AVE, FORT MEADE, MD 20755-5800
(301) 677-8586
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
LC302917
DC
Other
Enumeration date
12/20/2006
Last updated
08/22/2020
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