Provider Demographics
NPI:1740942739
Name:MEDIHEAL BEHAVIOR HEALTH SERVICES LLC
Entity type:Organization
Organization Name:MEDIHEAL BEHAVIOR HEALTH SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PROVIDER
Authorized Official - Prefix:
Authorized Official - First Name:AMINA
Authorized Official - Middle Name:I
Authorized Official - Last Name:OSMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:202-972-6872
Mailing Address - Street 1:2511 BALDWIN CRES NE
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20018-3849
Mailing Address - Country:US
Mailing Address - Phone:202-972-6872
Mailing Address - Fax:202-269-2909
Practice Address - Street 1:2511 BALDWIN CRES NE
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20018-3849
Practice Address - Country:US
Practice Address - Phone:202-972-6872
Practice Address - Fax:202-269-2909
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-10-07
Last Update Date:2023-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)Group - Single Specialty