Organization
COMMUNITY THERAPEUTIC SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JENITA CHARMAIN GRIFFIN PSY.D (PSYCHOLOGIST)
(301) 399-7811
Entity
Organization
Contact information
Practice address
4409 FORBES BLVD STE B, LANHAM, MD 20706-4373
(301) 399-7811
(301) 358-6455
Mailing address
5204 DERBY MANOR LN, UPPER MARLBORO, MD 20772-2996
(301) 399-7811
(301) 358-6455
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
5323
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
523110801
—
MD
Enumeration date
04/04/2014
Last updated
07/26/2017
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