| Clarvida | |
|
3341 Benning Rd Ne Washington DC 20019-1502 | |
| (202) 543-0387 | |
| (202) 543-2758 |
| Full Name | Clarvida |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 3341 Benning Rd Ne, Washington, District Of Columbia |
| Authorized Official Name and Position | Nancy Poe (CONTRACT ADMINISTRATOR) |
| Authorized Official Contact | 5205701460 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Clarvida 10304 Spotsylvania Ave Ste 300 Fredericksburg VA 22408-8602 Ph: () - | Clarvida 3341 Benning Rd Ne Washington DC 20019-1502 Ph: (202) 543-0387 |
| NPI Number | 1891822557 |
|---|---|
| Provider Enumeration Date | 02/28/2007 |
| Last Update Date | 07/18/2024 |
| Certification Date | 07/18/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891822557 | NPI | - | NPPES |
| 036524800 | Medicaid | DC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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