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Organization

BERACHAH, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. YOSHEDA WILLETTE LIGHTFOOT (EXECUTIVE DIRECTOR/CEO)
(301) 877-6882
Entity
Organization

Contact information

Practice address
7311 SERENADE CIR, CLINTON, MD 20735-5874
(301) 877-6882
Mailing address
7311 SERENADE CIR, CLINTON, MD 20735-5874
(301) 877-6882

Taxonomy

Speciality
Code
Description
License number
State
261QD1600X
Developmental Disabilities Clinic/Center
Primary

Other

Enumeration date
12/26/2015
Last updated
06/07/2023
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