NPI 1063894699

Ispar Foundation, INC.

Organisation Mental Illness Community Based Residential Treatment Facility Rockville, MD

Practice location

Address: 5914 Vandegrift Ave, Rockville, MD 20851-1940
Phone: (240) 997-1964

Authorised official

Name: Viktoriya Karakcheyeva
Title: Executive Director
Phone: (240) 997-1964

Registered specialties

Mental Illness Community Based Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 320800000X

Other Community Based Residential Treatment Facility, Mental Illness providers in Maryland →

Registry record

NPI: 1063894699
Entity type: Organization
NPI issued: 19 Jun 2015
Record last updated: 19 Jun 2015

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.