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1003 K St Nw Ste 405 Washington DC 20001-4424 | |
| (202) 628-8848 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Clinic/center - Adolescent And Children Mental Health |
| Location | 1003 K St Nw Ste 405, Washington, District Of Columbia |
| Authorized Official Name and Position | Carol Louise Vest (MANAGER OF ADMINISTRATIVE OPERATION) |
| Authorized Official Contact | 2026288848 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
1003 K St Nw Ste 405 Washington DC 20001-4424 Ph: (202) 628-8848 | 1003 K St Nw Ste 405 Washington DC 20001-4424 Ph: (202) 628-8848 |
| NPI Number | 1396920377 |
|---|---|
| Provider Enumeration Date | 01/08/2008 |
| Last Update Date | 01/08/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396920377 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0855X | Clinic/center - Adolescent And Children Mental Health | (* (Not Available)) | Primary |
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