Organization
ACE HOLISTIC SUPPORT INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EPHRAIM A MAKINDE PMHNP-BC (CEO)
(240) 421-1251
Entity
Organization
Contact information
Practice address
11720 BELTSVILLE DR STE 500-A5, BELTSVILLE, MD 20705-3166
(667) 392-3765
(240) 540-6170
Mailing address
11720 BELTSVILLE DR STE 500-A5, BELTSVILLE, MD 20705-3166
(667) 392-3765
(240) 540-6170
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
Other
Enumeration date
01/04/2024
Last updated
01/04/2024
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