Providence House INC
NPI #1710614870 in Capitol Heights, Maryland
Provider Information
- NPI Number
- 1710614870
- Entity Type
- Organization
- Organization Name
- Providence House INC
- Primary Specialty
- Community/Behavioral Health
- Enumeration Date
- Aug 8, 2022
- Last Updated
- Aug 8, 2022
Practice Location
- Address
- 4802 DEANWOOD DR
- City
- Capitol Heights
- State
- Maryland
- ZIP Code
- 20743-1129
- Phone
- (973) 444-1983
Authorized Official
- Name
- ANTHONY JEROME ANDERSON, PHD
- Title
- CEO
- Phone
- (973) 444-1983
Specialties & Taxonomy Codes
| Specialty |
|---|
| Community/Behavioral Health |
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