Organization
ANGELIC COMMUNITY SUPPORT SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LAWRENCE AHWIRENG (CO-OWNER)
(240) 406-0073
Entity
Organization
Contact information
Practice address
9428 FENS HOLLOW, LAUREL, MD 20723-5735
(240) 406-0073
Mailing address
9428 FENS HOLLOW, LAUREL, MD 20723-5735
(240) 406-0073
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
05/03/2023
Last updated
05/03/2023
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