Organization · Type 2 NPI
King of Glory Healthcare
Mental Health Clinic/Center (Including Community Mental Health Center) · Clinton, MD
NPI number
1639967409
Active
Practice location
8861 Branch Ave
Clinton, MD 20735-2632
Fax (240) 448-6991
Mailing address
9722 Natalie Dr
Upper Marlboro, MD 20772-4340
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Clinic/Center (Including Community Mental Health Center) Primary | 261QM0801X | None listed |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | None listed |
Mental Health Clinic/Center (Including Community Mental Health Center): Definition to come...
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About NPI 1639967409
King of Glory Healthcare's National Provider Identifier is 1639967409, issued on Apr 30, 2025. The primary taxonomy on file is Mental Health Clinic/Center (Including Community Mental Health Center) (261QM0801X), and the practice location is in Clinton, MD. The record was last updated on Apr 30, 2025.