NPI 1205514478

Integrated Medical Clinic

Organisation Substance Abuse Rehabilitation Facility Lanham, MD

Practice location

Address: 7404 Executive Pl STE 100, Lanham, MD 20706-6237
Phone: (240) 260-3827
Fax: (240) 260-3830
Mailing address: 3613 Celeste Bruce Cir, Bowie, MD 20721-2287

Authorised official

Name: Florence Nguh
Title: Owner
Phone: (240) 260-3827

Registered specialties (2)

Substance Abuse Rehabilitation Facility Primary

Residential Treatment Facilities Taxonomy 324500000X

Other Substance Abuse Rehabilitation Facility providers in Maryland →

Substance Use Disorder Rehabilitation Clinic/Center

Ambulatory Health Care Facilities Taxonomy 261QR0405X

Other Clinic/Center providers in Maryland →

Registry record

NPI: 1205514478
Entity type: Organization
NPI issued: 7 Jul 2023
Record last updated: 7 Jul 2023

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.