Provider Demographics
NPI:1891438651
Name:ALL DIMENSIONS BEHAVIORAL HEALTH LLC
Entity Type:Organization
Organization Name:ALL DIMENSIONS BEHAVIORAL HEALTH LLC
Other - Org Name:ALL DIMENSIONS BEHAVIORAL HEALTH LLC
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:RHODA
Authorized Official - Middle Name:
Authorized Official - Last Name:NDAMUKONG
Authorized Official - Suffix:
Authorized Official - Credentials:CRNP
Authorized Official - Phone:301-532-9242
Mailing Address - Street 1:4449 CRAIN HWY
Mailing Address - Street 2:
Mailing Address - City:WHITE PLAINS
Mailing Address - State:MD
Mailing Address - Zip Code:20695-3046
Mailing Address - Country:US
Mailing Address - Phone:240-289-5313
Mailing Address - Fax:240-427-9454
Practice Address - Street 1:4449 CRAIN HWY
Practice Address - Street 2:
Practice Address - City:WHITE PLAINS
Practice Address - State:MD
Practice Address - Zip Code:20695-3046
Practice Address - Country:US
Practice Address - Phone:240-289-5313
Practice Address - Fax:240-427-9454
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-04-19
Last Update Date:2024-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)
No251S00000XAgenciesCommunity/Behavioral Health
No261QM1300XAmbulatory Health Care FacilitiesClinic/CenterMulti-Specialty
No324500000XResidential Treatment FacilitiesSubstance Abuse Rehabilitation Facility