Organization
AFFORDABLE MEDICAL CLINIC LLC
Active
Other names
Affordable Medical Clinic LLC
Organization subpart
No
Provider details
NPI number
Authorized official
JOSEPHINE CHIBOGU EMEAGWALI DNP, FNP, PMHNP-BC (CEO)
(301) 412-7990
Entity
Organization
Contact information
Practice address
6475 NEW HAMPSHIRE AVE STE 430, HYATTSVILLE, MD 20783-3277
(240) 670-8305
(240) 670-8306
Mailing address
6475 NEW HAMPSHIRE AVE STE 430, HYATTSVILLE, MD 20783-3277
(240) 670-8305
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
099825600
—
DC
05
—
422722100
—
MD
Enumeration date
08/10/2020
Last updated
08/11/2020
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