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Organization

MY COVENANT PLACE BEHAVIORAL HEALTH

Active
Parent organization
MY COVENANT PLACE
Organization subpart
Yes

Provider details

NPI number
Legal business name
MY COVENANT PLACE
Authorized official
MS. LATISHA CARTER (CEO/EXECUTIVE DIRECTOR)
(301) 577-7307
Entity
Organization

Contact information

Practice address
9750 APOLLO DRIVE, SUITE B, LARGO, MD 20774-2077
(301) 577-7307
(301) 476-0076
Mailing address
10630 LITTLE PATUXENT PKWY STE 314D, COLUMBIA, MD 21044-6216
(410) 200-9290

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary

Other

Enumeration date
11/16/2021
Last updated
03/16/2022
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