| Psi Services III, Inc. | |
|
770 M St Se Washington DC 20003-3609 | |
| (202) 547-3870 | |
| (202) 546-9642 |
| Full Name | Psi Services III, Inc. |
|---|---|
| Speciality | Clinic/center |
| Location | 770 M St Se, Washington, District Of Columbia |
| Authorized Official Name and Position | Helen Bacon Dortch (V.P. FINANCE) |
| Authorized Official Contact | 3016543903 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Psi Services III, Inc. 7101 Wisconsin Ave Suite 1400 Bethesda MD 20814-4871 Ph: (301) 654-3903 | Psi Services III, Inc. 770 M St Se Washington DC 20003-3609 Ph: (202) 547-3870 |
| NPI Number | 1366653487 |
|---|---|
| Provider Enumeration Date | 05/24/2007 |
| Last Update Date | 10/25/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366653487 | NPI | - | NPPES |
| 022657600 | Medicaid | DC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 0020 (District Of Columbia) | Primary |
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