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My Covenant Place Behavioral Health

NPI #1326704073 in Largo, Maryland

Provider Information

NPI Number
1326704073
Entity Type
Organization
Organization Name
My Covenant Place Behavioral Health
Subpart
Yes (part of a larger organization)
Parent Organization
MY COVENANT PLACE
Primary Specialty
Community/Behavioral Health
Enumeration Date
Nov 16, 2021
Last Updated
Mar 16, 2022

Practice Location

Address
9750 APOLLO DRIVE
Address 2
SUITE B
City
Largo
State
Maryland
ZIP Code
20774-2077
Phone
(301) 577-7307

Authorized Official

Name
MS. LATISHA CARTER
Title
CEO/EXECUTIVE DIRECTOR
Phone
(301) 577-7307

Specialties & Taxonomy Codes

Specialty
Community/Behavioral Health

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