Organization
ELEVATION & ENRICHMENT THERAPEUTIC SERVICES
Active
Other names
Elevation & Enrichment Services
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DARRELL LEWIS COLEMAN LCSW-C (EXECUTIVE DIRECTOR)
(301) 276-5312
Entity
Organization
Contact information
Practice address
3900 PENN BELT PL, DISTRICT HEIGHTS, MD 20747-4734
(301) 276-5312
Mailing address
3900 PENN BELT PL, DISTRICT HEIGHTS, MD 20747-4734
(301) 276-5312
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
—
—
251S00000X
Community/Behavioral Health Agency
Primary
19378
MD
Other
Enumeration date
04/10/2014
Last updated
09/16/2021
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