Organization
ALIVE INTIMACY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RACHEL KELLER LCSW-C (THERAPIST)
(301) 960-8491
Entity
Organization
Contact information
Practice address
2131 DEFENSE HWY STE 2, CROFTON, MD 21114-2421
(301) 960-8491
Mailing address
2131 DEFENSE HWY STE 2, CROFTON, MD 21114-2421
(301) 960-8491
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
05/01/2020
Last updated
07/24/2020
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