Provider Demographics
NPI:1083457675
Name:ALL DIMENSIONS BEHAVIORAL HEALTH LLC
Entity type:Organization
Organization Name:ALL DIMENSIONS BEHAVIORAL HEALTH LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:RHODA
Authorized Official - Middle Name:PALMIRA
Authorized Official - Last Name:NDAMUKONG
Authorized Official - Suffix:
Authorized Official - Credentials:NP
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:240-213-7859
Mailing Address - Fax:
Practice Address - Street 1:1530 WILSON BLVD
Practice Address - Street 2:
Practice Address - City:ARLINGTON
Practice Address - State:VA
Practice Address - Zip Code:22209-2459
Practice Address - Country:US
Practice Address - Phone:240-213-7859
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ALL DIMENSIONS BEHAVIORAL HEALTH LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2024-06-13
Last Update Date:2024-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)