Organization
ENOVED CO
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEVONE CLARICE WILLIAMS (CHIEF EXECUTIVE OFFICER)
(240) 417-0586
Entity
Organization
Contact information
Practice address
2670 CRAIN HWY STE 205, WALDORF, MD 20601-2816
(301) 363-4900
Mailing address
2670 CRAIN HWY STE 205, WALDORF, MD 20601-2816
(240) 417-0586
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
253Z00000X
In Home Supportive Care Agency
—
—
Other
Enumeration date
02/14/2023
Last updated
11/05/2023
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