Provider Demographics
NPI:1114638939
Name:ABILITY BEHAVIORAL HEALTH INC
Entity Type:Organization
Organization Name:ABILITY BEHAVIORAL HEALTH INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:CHIMA
Authorized Official - Middle Name:
Authorized Official - Last Name:NZEKWE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:240-294-6682
Mailing Address - Street 1:14440 CHERRY LANE CT STE 201A
Mailing Address - Street 2:
Mailing Address - City:LAUREL
Mailing Address - State:MD
Mailing Address - Zip Code:20707-4946
Mailing Address - Country:US
Mailing Address - Phone:240-294-6682
Mailing Address - Fax:
Practice Address - Street 1:14440 CHERRY LANE CT STE 201A
Practice Address - Street 2:
Practice Address - City:LAUREL
Practice Address - State:MD
Practice Address - Zip Code:20707-4946
Practice Address - Country:US
Practice Address - Phone:240-294-6682
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ABILITY BEHAVIORAL HEALTH INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2022-12-13
Last Update Date:2022-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)