Provider Demographics
NPI:1720402415
Name:DARMA INC
Entity Type:Organization
Organization Name:DARMA INC
Other - Org Name:HAROLD WILLIS CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MS
Authorized Official - First Name:TINA
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:ALLEN
Authorized Official - Suffix:
Authorized Official - Credentials:MSW
Authorized Official - Phone:202-679-6788
Mailing Address - Street 1:12921 DUNKIRK DR
Mailing Address - Street 2:
Mailing Address - City:UPPER MARLBORO
Mailing Address - State:MD
Mailing Address - Zip Code:20772-9303
Mailing Address - Country:US
Mailing Address - Phone:202-679-6788
Mailing Address - Fax:202-800-7470
Practice Address - Street 1:12921 DUNKIRK DR
Practice Address - Street 2:
Practice Address - City:UPPER MARLBORO
Practice Address - State:MD
Practice Address - Zip Code:20772-9303
Practice Address - Country:US
Practice Address - Phone:202-679-6788
Practice Address - Fax:202-800-7470
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-02-14
Last Update Date:2014-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD19625302F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes302F00000XManaged Care OrganizationsExclusive Provider Organization