Organization
TRINITY FAMILY AND BEHAVIORAL HEALTH SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FRANCISCA NKEM OKWUKOGU PMHNP-BC (CEO/PRESIDENT)
(240) 705-4527
Entity
Organization
Contact information
Practice address
16701 MELFORD BLVD STE 400, BOWIE, MD 20715-4411
(240) 510-3281
Mailing address
16701 MELFORD BLVD STE 400, BOWIE, MD 20715-4411
(240) 510-3281
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
14542055
CAQH
—
Enumeration date
06/25/2020
Last updated
07/28/2021
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