Organization
KHI SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROGER DEAN LARSON CRCCPA (CHIEF EXECUTIVE OFFICER)
(240) 686-0707
Entity
Organization
Contact information
Practice address
19530 DOCTORS DR, GERMANTOWN, MD 20874-5200
(240) 686-0707
(240) 686-0711
Mailing address
19530 DOCTORS DR, GERMANTOWN, MD 20874-5200
(240) 686-0707
(240) 686-0711
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
461
MD
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
258905200
—
MD
05
—
481107100
—
MD
05
—
801602000
—
MD
Enumeration date
05/05/2010
Last updated
05/05/2010
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