Organization
K&C BEHAVIORAL HEALTH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MUNI GWANYEBIT NP (OWNER)
(301) 204-6086
Entity
Organization
Contact information
Practice address
8605 OTTER CREEK RD, LAUREL, MD 20724-1985
(301) 204-6086
Mailing address
8605 OTTER CREEK RD, LAUREL, MD 20724-1985
(301) 204-6086
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
06/14/2023
Last updated
06/14/2023
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