Organization
COMMUNITY THERAPEUTIC CENTER,INC
Active
Parent organization
OUT PATIENT MENTAL HEALTH CLINIC
Organization subpart
Yes
Provider details
NPI number
Legal business name
OUT PATIENT MENTAL HEALTH CLINIC
Authorized official
MR. EMMANUEL O OWOOJE (PRESIDENT)
(240) 764-5133
Entity
Organization
Contact information
Practice address
8181 PROFESSIONAL PL STE 213, HYATTSVILLE, MD 20785-7232
(240) 764-5133
(240) 764-7477
Mailing address
8181 PROFESSIONAL PL STE 213, HYATTSVILLE, MD 20785-7232
(240) 764-5133
(240) 764-7477
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
261QM2500X
Medical Specialty Clinic/Center
—
—
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1900222600
—
MD
Enumeration date
03/18/2019
Last updated
03/25/2025
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