Provider Demographics
NPI:1265323083
Name:ACCESS CARE LLC
Entity type:Organization
Organization Name:ACCESS CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PROGRAM DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:DIANA
Authorized Official - Middle Name:
Authorized Official - Last Name:CHEKRALLAH
Authorized Official - Suffix:
Authorized Official - Credentials:MS
Authorized Official - Phone:401-829-2654
Mailing Address - Street 1:20528 BOLAND FARM RD STE 204
Mailing Address - Street 2:
Mailing Address - City:GERMANTOWN
Mailing Address - State:MD
Mailing Address - Zip Code:20876-4038
Mailing Address - Country:US
Mailing Address - Phone:301-778-1415
Mailing Address - Fax:301-778-1416
Practice Address - Street 1:20528 BOLAND FARM RD STE 204
Practice Address - Street 2:
Practice Address - City:GERMANTOWN
Practice Address - State:MD
Practice Address - Zip Code:20876-4038
Practice Address - Country:US
Practice Address - Phone:301-778-1415
Practice Address - Fax:301-778-1416
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-07-10
Last Update Date:2025-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084A0401XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyAddiction MedicineGroup - Multi-Specialty