Organization
COMMUNITY THERAPEUTIC CENTER,INC
Active
Other names
community therapeutic center, community therapeutic center,inc
Organization subpart
No
Provider details
NPI number
Authorized official
EMMANUEL OWOOJE (PRESIDENT)
(240) 764-5133
Entity
Organization
Contact information
Practice address
8181 PROFESSIONAL PL STE 213, HYATTSVILLE, MD 20785-7232
(240) 764-5133
Mailing address
8181 PROFESSIONAL PL STE 213, HYATTSVILLE, MD 20785-7232
(240) 764-5133
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
251S00000X
Community/Behavioral Health Agency
—
—
261QA0600X
Adult Day Care Clinic/Center
—
—
261QH0100X
Health Service Clinic/Center
—
—
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1900222600
—
MD
Enumeration date
10/18/2019
Last updated
03/25/2025
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