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
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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