Organization
INDEPENDENT PSYCHIATRIC SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GRACE E. INYANG M.D. (MEDICAL DIRECTOR)
(301) 856-8516
Entity
Organization
Contact information
Practice address
7905 MALCOLM RD STE 103A, CLINTON, MD 20735-1734
(301) 856-8516
(301) 856-8515
Mailing address
PO BOX 190, CLINTON, MD 20735-0190
(301) 856-8516
(301) 856-8515
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
1041C0700X
Clinical Social Worker
Primary
D0061308
MD
251S00000X
Community/Behavioral Health Agency
—
—
Other
Enumeration date
11/15/2007
Last updated
04/18/2025
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