Organization
MONTGOMERY COUNTY MARYLAND GOVERNMENT
Active
Other names
African American Health Program (AAHP)
Organization subpart
No
Provider details
NPI number
Authorized official
DIANA AZUCENA CORTEZ (REVENUE CYCLE MANAGER)
(240) 672-6758
Entity
Organization
Contact information
Practice address
1401 ROCKVILLE PIKE RM 420, ROCKVILLE, MD 20852-1450
(240) 672-5867
Mailing address
401 HUNGERFORD DR FL 7, ROCKVILLE, MD 20850-4154
(240) 672-6758
Taxonomy
Speciality
Code
Description
License number
State
103TH0100X
Health Service Psychologist
—
—
133V00000X
Registered Dietitian
—
—
163WC0400X
Case Management Registered Nurse
—
—
163WI0600X
Infection Control Registered Nurse
—
—
163WM0102X
Maternal Newborn Registered Nurse
—
—
171M00000X
Case Manager/Care Coordinator
—
—
172V00000X
Community Health Worker
—
—
207RI0200X
Infectious Disease Physician
—
—
2083P0901X
Public Health & General Preventive Medicine Physician
—
—
261QP0905X
State or Local Public Health Clinic/Center
Primary
—
—
Other
Enumeration date
12/24/2025
Last updated
12/30/2025
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