Organization
KARGMAN CENTER FOR COMMUNITY CARE AND MENTAL WELLNESS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DIMITRY KARGMAN (PRESIDENT)
(917) 576-7467
Entity
Organization
Contact information
Practice address
47 SHIPPING PL, DUNDALK, MD 21222-4318
(917) 576-7467
Mailing address
47 SHIPPING PL, DUNDALK, MD 21222-4318
(917) 576-7467
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
101YM0800X
Mental Health Counselor
—
—
103T00000X
Psychologist
—
—
1041C0700X
Clinical Social Worker
—
—
163W00000X
Registered Nurse
—
—
2084P0800X
Psychiatry Physician
—
—
363L00000X
Nurse Practitioner
—
—
363LF0000X
Family Nurse Practitioner
—
—
Other
Enumeration date
02/06/2020
Last updated
02/06/2020
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