Organization
GILGAL GROUP PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FREDERICK OLUMIDE KUMOLALO LMSW, PHD (CEO/PROGRAM ADMINISTRATOR)
(443) 631-3878
Entity
Organization
Contact information
Practice address
5205 EAST DR STE H, ARBUTUS, MD 21227-2403
(443) 631-3878
Mailing address
5205 EAST DR STE H, ARBUTUS, MD 21227-2403
(443) 631-3878
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
06/18/2019
Last updated
06/18/2019
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