| Psi Services III, Inc | |
|
5820 Dix St Ne Washington DC 20019-6965 | |
| (202) 547-3870 | |
| Not Available |
| Full Name | Psi Services III, Inc |
|---|---|
| Speciality | Clinic/center |
| Location | 5820 Dix St Ne, Washington, District Of Columbia |
| Authorized Official Name and Position | Shawn Rubbin (COMMS & IT DIRECTOR) |
| Authorized Official Contact | 3015527120 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Psi Services III, Inc 8301 Professional Pl Ste 205 Hyattsville MD 20785-2353 Ph: (301) 552-7120 | Psi Services III, Inc 5820 Dix St Ne Washington DC 20019-6965 Ph: (202) 547-3870 |
| NPI Number | 1083828735 |
|---|---|
| Provider Enumeration Date | 05/10/2007 |
| Last Update Date | 08/26/2020 |
| Certification Date | 08/26/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083828735 | NPI | - | NPPES |
| 022659200 | Medicaid | DC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 0020 (District Of Columbia) | Primary |
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