Integrative Behavioral Supports Inc. | |
2001 Massachusetts Ave Nw Washington DC 20036-1011 | |
(202) 785-1836 | |
(202) 722-0169 |
Full Name | Integrative Behavioral Supports Inc. |
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Speciality | Community/behavioral Health |
Location | 2001 Massachusetts Ave Nw, Washington, District Of Columbia |
Authorized Official Name and Position | Aisha Rachelle Riley (CEO) |
Authorized Official Contact | 2027851836 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Integrative Behavioral Supports Inc. 2001 Massachusetts Ave Nw Washington DC 20036-1011 Ph: (202) 785-1836 | Integrative Behavioral Supports Inc. 2001 Massachusetts Ave Nw Washington DC 20036-1011 Ph: (202) 785-1836 |
NPI Number | 1063847549 |
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Provider Enumeration Date | 09/04/2013 |
Last Update Date | 12/30/2015 |
Identifier | Type | State | Issuer |
---|---|---|---|
1063847549 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | RN1010245 (District Of Columbia) | Primary |
251S00000X | Community/behavioral Health | 0024167884 (Virginia) | Secondary |
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