Organization
INSTITUTE FOR BEHAVIORAL CHANGE, INC.
Active
Other names
IBC
Organization subpart
No
Provider details
NPI number
Authorized official
DEVONE CLARICE WILLIAMS (COO)
(301) 818-0092
Entity
Organization
Contact information
Practice address
2670 CRAIN HWY STE 205, WALDORF, MD 20601-2816
(301) 818-0092
(301) 818-0110
Mailing address
2670 CRAIN HWY STE 205, WALDORF, MD 20601-2816
(301) 818-0092
(301) 818-0110
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
251S00000X
Community/Behavioral Health Agency
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Enumeration date
03/22/2023
Last updated
03/22/2023
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