Organization
MIND KIND LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MIKALA K MARTIN (EXECUTIVE DIRECTOR)
(202) 277-6297
Entity
Organization
Contact information
Practice address
11555 COSCA PARK PL, CLINTON, MD 20735-4184
(202) 277-6297
Mailing address
11555 COSCA PARK PL, CLINTON, MD 20735-4184
(202) 277-6297
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
253Z00000X
In Home Supportive Care Agency
—
—
Other
Enumeration date
08/05/2024
Last updated
08/05/2024
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