Organization
KEILAH RESTORATION MINISTRIES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. NICHOLA K BROWN LICSW (PRESIDENT/CE))
(240) 997-8751
Entity
Organization
Contact information
Practice address
1629 K ST NW, SUITE 300, WASHINGTON, DC 20006-1602
(240) 997-8751
Mailing address
3429 REGENCY PKWY, DISTRICT HEIGHTS, MD 20747-3816
(240) 997-8751
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
—
—
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
12/06/2016
Last updated
12/06/2016
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