Organization
IVYMOUNT OUTREACH PROGRAMS, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LEE-NADINE OPPENHEIM (DIRECTOR OF FINANCE/ADMINISTRATION)
(301) 469-0223
Entity
Organization
Contact information
Practice address
11614 SEVEN LOCKS RD, ROCKVILLE, MD 20854-3261
(301) 469-0223
(301) 469-0778
Mailing address
11614 SEVEN LOCKS RD, ROCKVILLE, MD 20854-3261
(301) 469-0223
(301) 469-0778
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
03/22/2012
Last updated
03/22/2012
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