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1301 Pennsylvania Ave Se Ste 200 Washington DC 20003-3027 | |
| (202) 548-7308 | |
| (202) 518-8824 |
| Full Name | |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1301 Pennsylvania Ave Se Ste 200, Washington, District Of Columbia |
| Authorized Official Name and Position | Tonya Smallwood (PRESIDENT & CEO) |
| Authorized Official Contact | 2022891510 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
1301 Pennsylvania Ave Se 200 Washington DC 20003-3027 Ph: (202) 548-7308 | 1301 Pennsylvania Ave Se Ste 200 Washington DC 20003-3027 Ph: (202) 548-7308 |
| NPI Number | 1346378577 |
|---|---|
| Provider Enumeration Date | 03/01/2007 |
| Last Update Date | 07/21/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346378577 | NPI | - | NPPES |
| 029974400 | Medicaid | DC | |
| 037731700 | Other | DC | DC MHRS |
| 421353000 | Medicaid | MD |
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