Organization Name: | COMPUTER INFORMATION SERVICES & HEALTHCARE INC. |
NPI Number: | 1477804938 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | ALFRED SIBEDWO (ADMINISTRATOR) |
Mailing Address: | 1839 Brightseat Rd Landover |
State: | MD US |
Postal Code: | 207854250 |
Phone Number: | 2405083244 |
Fax Number: | |
NPI Enumeration Date: | 09/25/2012 |
NPI Last Update Date: | 09/25/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |