Kimberly M Green in Riverdale - Community/behavioral Health

Kimberly M Green - NPI 1164601787

Kimberly M Green is a Community/behavioral Health in Riverdale, Maryland. Kimberly M Green practices all healthcare services and medical treatments related to Community/behavioral Health. The NPI Number for Kimberly M Green is 1164601787. The last update date is 2021-08-25.

Kimberly M Green's current location address is 4404 Queensbury Rd Ste 105, Riverdale, Maryland. You can contact this provider via phone number 3018640919. The mailing address for Kimberly M Green is 4404 Queensbury Rd Ste 105, Riverdale, Maryland. To know further, please read the information below!

Provider Profile Detail

Provider Name Kimberly M Green
Address 4404 Queensbury Rd Ste 105, Riverdale, Maryland
Phone Number 3018640919
Fax Number
Sole Proprietor Y
Credentials CSC-AD, RA

NPI Number Detail

NPI Number 1164601787
Provider Enumeration Date 2007-10-31
Last Updated Date 2021-08-25

Provider Mailing Address Detail

Address 4404 Queensbury Rd Ste 105
City Riverdale
State Maryland (MD)
Post Code 207371074
Phone Number 3018640919
Fax Number

Provider's Primary Taxonomy Detail

Speciality Community/behavioral Health
Taxonomy 251S00000X
Licence No 210310714
Definition:
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those dis

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FAQs about Kimberly M Green

What is the unique provider identifier assigned to Kimberly M Green?

The Kimberly M Green has been issued the NPI (National Provider Identifier) 1164601787 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you provide the complete address where Kimberly M Green is physically located?

The Kimberly M Green is situated at the following address: 4404 Queensbury Rd Ste 105, Riverdale, MD 207371074.

What is Kimberly M Green's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for Kimberly M Green is Community/behavioral Health, and the taxonomy code that classifies this field of practice is 251S00000X.

When did Kimberly M Green receive its 1164601787 assignment?

The Kimberly M Green was assigned its 1164601787 on 2007-10-31, which is the date when this unique identifier was issued to the organization.

As of what date were the Kimberly M Green's details last updated?

The information pertaining to the Kimberly M Green, including its address, specialty, and other details, was most recently updated on 2021-08-25.

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