| Dedicated Care Health Services, Inc. | |
|
1160 Varnum St Ne Ste 216 Washington DC 20017-2106 | |
| (202) 723-1200 | |
| (202) 723-1211 |
| Full Name | Dedicated Care Health Services, Inc. |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 1160 Varnum St Ne Ste 216, Washington, District Of Columbia |
| Authorized Official Name and Position | Thomas Amibang Tanue (CEO) |
| Authorized Official Contact | 2027231200 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dedicated Care Health Services, Inc. 1160 Varnum St Ne Ste 216 Washington DC 20017-2106 Ph: (202) 723-1200 | Dedicated Care Health Services, Inc. 1160 Varnum St Ne Ste 216 Washington DC 20017-2106 Ph: (202) 723-1200 |
| NPI Number | 1437768959 |
|---|---|
| Provider Enumeration Date | 07/30/2020 |
| Last Update Date | 07/30/2020 |
| Certification Date | 07/30/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437768959 | NPI | - | NPPES |
| 026913693 | Medicaid | DC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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