Individual
MABOH NDIMAH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2501 GOOD HOPE RD SE, WASHINGTON, DC 20020-3011
(202) 866-7505
Mailing address
2811 PENNSYLVANIA AVE SE, WASHINGTON, DC 20020-3865
(202) 866-7505
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
251S00000X
Community/Behavioral Health Agency
—
—
Other
Enumeration date
02/16/2023
Last updated
08/02/2023
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