Provider Demographics
NPI:1881385193
Name:UNITED FAMILY MISSION INCORPORATION
Entity type:Organization
Organization Name:UNITED FAMILY MISSION INCORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:OLUREMI
Authorized Official - Middle Name:
Authorized Official - Last Name:AGBAJE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:240-467-1406
Mailing Address - Street 1:10230 CHAUTAUQUA AVE
Mailing Address - Street 2:
Mailing Address - City:LANHAM
Mailing Address - State:MD
Mailing Address - Zip Code:20706-2039
Mailing Address - Country:US
Mailing Address - Phone:240-467-1406
Mailing Address - Fax:
Practice Address - Street 1:8700 CENTRAL AVE
Practice Address - Street 2:
Practice Address - City:LANDOVER
Practice Address - State:MD
Practice Address - Zip Code:20785-4831
Practice Address - Country:US
Practice Address - Phone:240-708-6529
Practice Address - Fax:240-539-4075
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-05-17
Last Update Date:2023-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes104100000XBehavioral Health & Social Service ProvidersSocial WorkerGroup - Multi-Specialty