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Organization

GABRIEL COMMUNITY SERVICES INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
LUCY IMMI K (ADMINISTRATOR)
(240) 584-8869
Entity
Organization

Contact information

Practice address
11402 COVERED BRIDGE CT, GLENN DALE, MD 20769-9130
(301) 814-0037
(877) 408-0066
Mailing address
11402 COVERED BRIDGE CT, GLENN DALE, MD 20769-9130
(240) 584-8869
(301) 814-0037

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
261QA0600X
Adult Day Care Clinic/Center
310400000X
Assisted Living Facility
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
385H00000X
Respite Care

Other

Enumeration date
05/13/2025
Last updated
05/13/2025
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