| Innercity Collaborative Community Development Corporation | |
|
5219 Call Pl Se Washington DC 20019-6321 | |
| (240) 304-6822 | |
| (301) 336-5164 |
| Full Name | Innercity Collaborative Community Development Corporation |
|---|---|
| Speciality | Counselor |
| Location | 5219 Call Pl Se, Washington, District Of Columbia |
| Authorized Official Name and Position | Rev Judie Shepherd-gore (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 2403046822 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Innercity Collaborative Community Development Corporation 5219 Call Pl Se Washington DC 20019-6321 Ph: (240) 304-6822 | Innercity Collaborative Community Development Corporation 5219 Call Pl Se Washington DC 20019-6321 Ph: (240) 304-6822 |
| NPI Number | 1477314011 |
|---|---|
| Provider Enumeration Date | 01/22/2024 |
| Last Update Date | 01/22/2024 |
| Certification Date | 01/20/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477314011 | NPI | - | NPPES |
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