Organization
KIRSTIN CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. STEPHEN F FONCHAM MBA (FOUNDER/CEO/PRESIDENT)
(240) 392-2876
Entity
Organization
Contact information
Practice address
5801 ALLENTOWN RD STE 310&311, CAMP SPRINGS, MD 20746-4563
(240) 392-2876
(240) 838-3015
Mailing address
5801 ALLENTOWN RD STE 310&311, CAMP SPRINGS, MD 20746-4563
(240) 392-2876
(240) 838-3015
Taxonomy
Speciality
Code
Description
License number
State
2084P0802X
Addiction Psychiatry Physician
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
—
—
Other
Enumeration date
07/19/2019
Last updated
04/02/2025
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