East Of The River Clergy Police Community Partnership, Inc. | |
4115 1st St Se Washington DC 20032-2815 | |
(202) 373-5767 | |
(202) 373-5769 |
Full Name | East Of The River Clergy Police Community Partnership, Inc. |
---|---|
Speciality | Community/behavioral Health |
Location | 4115 1st St Se, Washington, District Of Columbia |
Authorized Official Name and Position | Donald Isaac (EXECUTIVE DIRECTOR) |
Authorized Official Contact | 2023735667 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
East Of The River Clergy Police Community Partnership, Inc. 4115 1st St Se Washington DC 20032-2815 Ph: (202) 373-5767 | East Of The River Clergy Police Community Partnership, Inc. 4115 1st St Se Washington DC 20032-2815 Ph: (202) 373-5767 |
NPI Number | 1952661852 |
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Provider Enumeration Date | 05/24/2012 |
Last Update Date | 05/24/2012 |
Identifier | Type | State | Issuer |
---|---|---|---|
1952661852 | NPI | - | NPPES |
52227701012073 | Other | DC | BUSINESS LICENSE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | 52227 (District Of Columbia) | Primary |
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