Amachi Foundation LLC

NPI #1598261380 in Largo, Maryland

Provider Information

NPI Number: 1598261380
Entity Type: Organization
Organization Name: Amachi Foundation LLC
Primary Specialty: Social Worker - Clinical
Enumeration Date: Apr 2, 2018
Last Updated: Apr 2, 2018

Practice Location

Address: 9701 APOLLO DR STE 100
City: Largo
State: Maryland
ZIP Code: 20774-4785
Phone: (202) 341-3140

Authorized Official

Name: PARIS GASQUE, LCSW
Title: LICENSED CLINICAL SOCIAL WORKER
Phone: (202) 341-3140

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker - Clinical — Clinical	1041C0700X	Primary

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