Provider Demographics
NPI:1508054495
Name:C. GRAHAM CONSULTING, INC
Entity Type:Organization
Organization Name:C. GRAHAM CONSULTING, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:CHRISTIANE
Authorized Official - Middle Name:MARGARETE
Authorized Official - Last Name:GRAHAM
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW-C
Authorized Official - Phone:301-949-2624
Mailing Address - Street 1:4112 DECATUR AVE
Mailing Address - Street 2:
Mailing Address - City:KENSINGTON
Mailing Address - State:MD
Mailing Address - Zip Code:20895-1507
Mailing Address - Country:US
Mailing Address - Phone:301-949-2624
Mailing Address - Fax:301-946-0340
Practice Address - Street 1:13415 CONNECTICUT AVE STE 105
Practice Address - Street 2:
Practice Address - City:SILVER SPRING
Practice Address - State:MD
Practice Address - Zip Code:20906-2910
Practice Address - Country:US
Practice Address - Phone:301-717-4204
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-10-04
Last Update Date:2007-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD10877251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD490698Medicare PIN
MDP22885Medicare UPIN