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Organization

AMITY GROUP LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. OYINDAMOLA DUNTOYE SIMIEN (CEO)
(337) 349-9849
Entity
Organization

Contact information

Practice address
8409 WEXFORD RD, UPPER MARLBORO, MD 20772-5052
(337) 349-9849
Mailing address
8409 WEXFORD RD, UPPER MARLBORO, MD 20772-5052
(337) 349-9849

Taxonomy

Speciality
Code
Description
License number
State
2084P0804X
Child & Adolescent Psychiatry Physician
251E00000X
Home Health Agency
251S00000X
Community/Behavioral Health Agency
Primary
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
261QM0850X
Adult Mental Health Clinic/Center
261QM0855X
Adolescent and Children Mental Health Clinic/Center

Other

Enumeration date
05/17/2024
Last updated
05/17/2024
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