Organization
JTC BEHAVIORAL HEALTH SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN IHUEZE IHEOMA (CEO)
(443) 857-9193
Entity
Organization
Contact information
Practice address
8700 CENTRAL AVENUE, SUITE #300/#200B, HYATTSVILLE, MD 20785-4853
(240) 838-7068
Mailing address
8700 CENTRAL AVENUE, STE #300/#200B, HYATTSVILLE, MD 20785-4853
(240) 838-7068
(240) 619-4916
Taxonomy
Speciality
Code
Description
License number
State
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
—
Other
Enumeration date
12/13/2022
Last updated
06/06/2023
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