Provider Demographics
NPI:1114383304
Name:CARERITE TFC INC
Entity Type:Organization
Organization Name:CARERITE TFC INC
Other - Org Name:CARERITE TFC BEHAVIOURAL HEALTH
Other - Org Type:Other Name
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:FELICIA
Authorized Official - Middle Name:UDUAK
Authorized Official - Last Name:BASSEY-AKAMUNE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:301-326-1357
Mailing Address - Street 1:7676 NEW HAMPSHIRE AVE
Mailing Address - Street 2:SUITE 330
Mailing Address - City:TAKOMA PARK
Mailing Address - State:MD
Mailing Address - Zip Code:20912-7512
Mailing Address - Country:US
Mailing Address - Phone:301-326-1357
Mailing Address - Fax:301-408-1828
Practice Address - Street 1:7676 NEW HAMPSHIRE AVE
Practice Address - Street 2:SUITE 330
Practice Address - City:TAKOMA PARK
Practice Address - State:MD
Practice Address - Zip Code:20912-7512
Practice Address - Country:US
Practice Address - Phone:301-326-1357
Practice Address - Fax:301-408-1828
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:CARERITE TFC INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2016-01-05
Last Update Date:2016-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD00451101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD4239423-00Medicaid