Organization
COMFORT SISI HEALTHCARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GODWIN O SEKYERE (CEO)
(301) 222-7732
Entity
Organization
Contact information
Practice address
8609 34TH AVE, COLLEGE PARK, MD 20740-4409
(301) 222-7732
(301) 328-0406
Mailing address
8609 34TH AVE, COLLEGE PARK, MD 20740-4409
(301) 222-7732
(301) 328-0406
Taxonomy
Speciality
Code
Description
License number
State
103TM1800X
Intellectual & Developmental Disabilities Psychologist
—
—
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
—
—
Other
Enumeration date
05/08/2020
Last updated
05/22/2020
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