Provider First Line Business Practice Location Address:
2100W PENNSYLVANIA AVE NW FL 4
Provider Second Line Business Practice Location Address:
KAISER PERMANENTE BEHAVIORAL HEALTH
Provider Business Practice Location Address City Name:
WASHINGTON
Provider Business Practice Location Address State Name:
DC
Provider Business Practice Location Address Postal Code:
20037-3201
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
202-721-2137
Provider Business Practice Location Address Fax Number:
202-721-2121
Provider Enumeration Date:
02/07/2007