Organization
EMPOWERING GIRLS 4 SUCCESS, INC
Active
Organization
EMPOWERING GIRLS 4 SUCCESS, INC
Active
Other names
Kenyona Davis
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KENYONA N DAVIS (COMMUNITY THERAPUETIC SVC PROVIDER)
(202) 729-0018
Entity
Organization
Contact information
Practice address
771 BELLE FIELD RD, SUITE 136, DOWELL, MD 20629-3044
(202) 729-0018
Mailing address
771 BELLE FIELD RD, SUITE 136, DOWELL, MD 20629-3044
(202) 729-0018
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
MD
251S00000X
Community/Behavioral Health Agency
—
MD
385HR2050X
Respite Care Camp
—
MD
385HR2055X
Child Mental Illness Respite Care
Primary
—
MD
Other
Enumeration date
11/16/2013
Last updated
11/16/2013
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