Organization
KING OF GLORY HEALTHCARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
IFEYINWA OKAFOR (PRESIDENT)
(240) 448-7242
Entity
Organization
Contact information
Practice address
8861 BRANCH AVE, CLINTON, MD 20735-2632
(240) 448-7242
(240) 448-6991
Mailing address
9722 NATALIE DR, UPPER MARLBORO, MD 20772-4340
(240) 448-7242
(240) 448-6991
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
Other
Enumeration date
04/30/2025
Last updated
04/30/2025
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