# URBAN BEHAVIORAL ASSOCIATES DC PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Congress Heights Life Skills Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1184027633
- **Authorized official:** DR. TRACEE BURROUGHS (CEO)
- **Authorized official phone:** (410) 779-3102

## Contact information

- **Practice address:** 3029 MARTIN LUTHER KING JR AVE SE, WASHINGTON, DC 20032-2506
- **Practice address phone:** (202) 971-4051
- **Practice address fax:** (202) 563-0109
- **Mailing address:** 2310 N CHARLES ST, BALTIMORE, MD 21218-5127
- **Mailing address phone:** (410) 779-3102
- **Mailing address fax:** (410) 230-2687

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 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 | — | NULL | Yes |

## Other

- **Enumeration date:** 09/29/2014
- **Last updated:** 09/29/2014