Individual
BORIS DONFACK SR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
10111 RIGGS RD, ADELPHI, MD 20783-1208
(281) 464-6571
Mailing address
10111 RIGGS RD, ADELPHI, MD 20783-1208
(281) 464-6571
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
251S00000X
Community/Behavioral Health Agency
—
—
Other
Enumeration date
03/27/2023
Last updated
07/23/2023
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