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Organization
URBAN BEHAVIORAL ASSOCIATES DC PLLC
Active
Organization
URBAN BEHAVIORAL ASSOCIATES DC PLLC
Active
Other names
Congress Heights Life Skills Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TRACEE BURROUGHS (CEO)
(410) 779-3102
Entity
Organization
Contact information
Practice address
3029 MARTIN LUTHER KING JR AVE SE, WASHINGTON, DC 20032-2506
(202) 971-4051
(202) 563-0109
Mailing address
2310 N CHARLES ST, BALTIMORE, MD 21218-5127
(410) 779-3102
(410) 230-2687
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
NULL
261QM0850X
Adult Mental Health Clinic/Center
—
NULL
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary
—
NULL
Other
Enumeration date
09/29/2014
Last updated
09/29/2014
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