| Boys Town Washington Dc, Inc. | |
|
4801 Sargent Rd Ne Washington DC 20017-2841 | |
| (202) 650-6361 | |
| (402) 650-6362 |
| Full Name | Boys Town Washington Dc, Inc. |
|---|---|
| Speciality | Psychologist |
| Location | 4801 Sargent Rd Ne, Washington, District Of Columbia |
| Authorized Official Name and Position | Kichelle Coleman (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 2026506361 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Boys Town Washington Dc, Inc. 4801 Sargent Rd Ne Washington DC 20017-2841 Ph: (202) 650-6361 | Boys Town Washington Dc, Inc. 4801 Sargent Rd Ne Washington DC 20017-2841 Ph: (202) 650-6361 |
| NPI Number | 1144604638 |
|---|---|
| Provider Enumeration Date | 07/14/2015 |
| Last Update Date | 03/14/2023 |
| Certification Date | 03/14/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144604638 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | (* (Not Available)) | Secondary |
| 103T00000X | Psychologist | (* (Not Available)) | Primary |
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