Organization
SEPPK
Active
Other names
Chevi Natural Healing
Organization subpart
No
Provider details
NPI number
Authorized official
PROF. DEUK B KONG LMT (THERAPSIT)
(410) 875-7284
Entity
Organization
Contact information
Practice address
1224 W OLD LIBERTY RD, SYKESVILLE, MD 21784-9327
(410) 875-7284
(410) 875-7284
Mailing address
1224 W OLD LIBERTY RD, SYKESVILLE, MD 21784-9327
(410) 875-7284
(410) 875-7284
Taxonomy
Speciality
Code
Description
License number
State
320700000X
Physical Disabilities Residential Treatment Facility
Primary
M05267
MD
Other
Enumeration date
03/30/2017
Last updated
03/30/2017
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