Provider First Line Business Practice Location Address:
2115 WISCONSIN AVENUE, NW
Provider Second Line Business Practice Location Address:
SUITE 200, DEPARTMENT OF PSYCHIATRY
Provider Business Practice Location Address City Name:
WASHINGTON
Provider Business Practice Location Address State Name:
DC
Provider Business Practice Location Address Postal Code:
20007
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
202-944-5400
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
03/27/2024