Organization
E&B BEHAVIORAL AND MEDICAL CLINIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ERNEST KEYAKA (PROVIDER)
(513) 295-9807
Entity
Organization
Contact information
Practice address
15305 BEAUFORT PL, SILVER SPRING, MD 20905-4203
(513) 295-9807
Mailing address
15305 BEAUFORT PL, SILVER SPRING, MD 20905-4203
(513) 295-9807
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
08/15/2022
Last updated
08/15/2022
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