Icon Clinic LLC

NPI #1659090934 in Greenbelt, Maryland

Provider Information

NPI Number
1659090934
Entity Type
Organization
Organization Name
Icon Clinic LLC
Primary Specialty
Clinic/Center - Mental Health (Including Community Mental Health Center)
Enumeration Date
Aug 22, 2022
Last Updated
Aug 22, 2022

Practice Location

Address
7735 BELLE POINT DR
ZIP Code
20770-3300
Phone
(240) 455-3166

Authorized Official

Name
THICKNESS PATRICK EGWUATU
Title
OWNER OF ENTITY
Phone
(202) 288-7752

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Mental Health (Including Community Mental Health Center)Mental Health (Including Community Mental Health Center)

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