Provider First Line Business Practice Location Address:
35 K STREET, 2ND FLOOR
Provider Second Line Business Practice Location Address:
MENTAL HEALTH SERVICES DIVISION
Provider Business Practice Location Address City Name:
WASHINGTON
Provider Business Practice Location Address State Name:
DC
Provider Business Practice Location Address Postal Code:
20002
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
202-442-4873
Provider Business Practice Location Address Fax Number:
202-727-0857
Provider Enumeration Date:
09/16/2015