Individual provider · Type 1 NPI

Kimberly M. Green, CSC-AD, RAC

Community/Behavioral Health Agency · Riverdale, MD

NPI number 1164601787 Active

Practice location

4404 Queensbury Rd Ste 105
Riverdale, MD 20737-1074

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400XADD14102 (DC)
Community/Behavioral Health Agency Primary 251S00000X210310714 (MD)

Community/Behavioral Health Agency: A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day suppo…

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About NPI 1164601787

Kimberly M. Green, CSC-AD, RAC's National Provider Identifier is 1164601787, issued on Oct 31, 2007. The primary taxonomy on file is Community/Behavioral Health Agency (251S00000X), and the practice location is in Riverdale, MD. The record was last updated on Aug 25, 2021.