My Covenant Place Behavioral Health

NPI #1679222715 in Largo, Maryland

Provider Information

NPI Number: 1679222715
Entity Type: Organization
Organization Name: My Covenant Place Behavioral Health
Subpart: Yes (part of a larger organization)
Parent Organization: MY COVENANT PLACE BEHAVIORAL HEALTH
Primary Specialty: Clinic/Center - Mental Health (Including Community Mental Health Center)
Enumeration Date: Mar 23, 2022
Last Updated: Jan 9, 2023

Practice Location

Address: 9701 APOLLO DR STE 411
City: Largo
State: Maryland
ZIP Code: 20774-4783
Phone: (301) 577-7307

Authorized Official

Name: LATISHA CARTER
Title: CEO
Phone: (301) 577-7307

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Mental Health (Including Community Mental Health Center) — Mental Health (Including Community Mental Health Center)	261QM0801X	Primary

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