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NPI Code Detail

MEDICARE: IN THE GAP ACADEMY, LLC

MEDICARE: IN THE GAP ACADEMY, LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1324500000XSubstance Abuse Rehabilitation Facility

General Provider Information

NPI Number : 1528900347
Entity Type Code : Organization
Provider Name (Legal Business Name) : IN THE GAP ACADEMY, LLC
Provider Business Mailing Address
First Line : 8401 CORPORATE DR STE 420
Second Line :
City : LANDOVER
State : MD
Zip : 20785-2277
Country : US
Telephone Number : 301-747-1003
Fax Number :
Provider Business Practice Location Address
First Line : 1110 CEDAR HEIGHTS DR
Second Line :
City : CAPITOL HEIGHTS
State : MD
Zip : 20743-6416
Country : US
Telephone Number : 301-747-1003
Fax Number :
Authorized Official
Title or Position : CEO
Name : MS. ESTHER O. POPOOLA
Credential : LCSW-C, LCADC
Telephone Number : 301-747-1047
Provider Enumeration Date : 04/08/2026
Last Update Date : 04/08/2026

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Directions to “IN THE GAP ACADEMY, LLC ” Practice Location

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