Provider Demographics
NPI:1326437963
Name:A PLACE FOR ME, INC
Entity Type:Organization
Organization Name:A PLACE FOR ME, INC
Other - Org Name:A PLACE FOR ME HEALTH CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT/CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:TERRY
Authorized Official - Last Name:GRAHAM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:202-494-8838
Mailing Address - Street 1:4670 WILLIAMS WHARF RD
Mailing Address - Street 2:
Mailing Address - City:SAINT LEONARD
Mailing Address - State:MD
Mailing Address - Zip Code:20685-3044
Mailing Address - Country:US
Mailing Address - Phone:202-494-8838
Mailing Address - Fax:443-295-7814
Practice Address - Street 1:4670 WILLIAMS WHARF RD
Practice Address - Street 2:
Practice Address - City:SAINT LEONARD
Practice Address - State:MD
Practice Address - Zip Code:20685-3044
Practice Address - Country:US
Practice Address - Phone:202-494-8838
Practice Address - Fax:443-295-7814
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:A PLACE FOR ME, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2015-01-20
Last Update Date:2015-01-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QC1500XAmbulatory Health Care FacilitiesClinic/CenterCommunity Health