Provider First Line Business Practice Location Address:
WALTER REED ARMY MEDICAL CENTER, DEPT OF PSYCHIATRY
Provider Second Line Business Practice Location Address:
6900 GEORGIA AVE NW, BLDG. 6, BORDEN PAVILION
Provider Business Practice Location Address City Name:
WASHINGTON
Provider Business Practice Location Address State Name:
DISTRICT OF COLUMBIA
Provider Business Practice Location Address Postal Code:
20307
Provider Business Practice Location Address Country Code:
SC
Provider Business Practice Location Address Telephone Number:
202-782-5992
Provider Business Practice Location Address Fax Number:
202-782-6480
Provider Enumeration Date:
04/24/2007