Organization
IJOMAH AND ASSOCIATES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ODERA VALENTINE IJOMAH BA (PROGRAM ADMINISTRATOR)
(301) 925-9120
Entity
Organization
Contact information
Practice address
1106 CEDAR HEIGHTS DR, CAPITAL HEIGHTS, MD 20784
(301) 925-9120
(301) 925-9120
Mailing address
PO BOX 3153, LANDOVER HILLS, MD 20784
(301) 925-9120
(301) 925-4328
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
252508
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
403391400
—
MD
Enumeration date
10/31/2006
Last updated
06/18/2008
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