Organization
ACCESS INTEGRATED HEALTHCARE, LLC
Active
Other names
Access Integrated Healthcare
Organization subpart
No
Provider details
NPI number
Authorized official
EFON MANDONG EPANTY (PROGRAM MANAGER)
(240) 354-6679
Entity
Organization
Contact information
Practice address
15148 WINDY HOLLOW CIR, GAINESVILLE, VA 20155-2847
(240) 354-6679
Mailing address
15148 WINDY HOLLOW CIR, GAINESVILLE, VA 20155-2847
(240) 354-6679
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
251S00000X
Community/Behavioral Health Agency
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
06/25/2021
Last updated
06/25/2021
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