# HALBACK AND ASSOCIATES LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1457095663
- **Authorized official:** KIM HALBACK LCSW-C (OWNER/LCSW-C)
- **Authorized official phone:** (202) 290-8335

## Contact information

- **Practice address:** 3311 TOLEDO TER STE B103, HYATTSVILLE, MD 20782-8146
- **Practice address phone:** (202) 290-8335
- **Mailing address:** 3311 TOLEDO TER STE B103, HYATTSVILLE, MD 20782-8146
- **Mailing address phone:** (202) 290-8335

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QR0401X | Comprehensive Outpatient Rehabilitation Facility (CORF) | — | NULL | Yes |

## Other

- **Enumeration date:** 04/24/2022
- **Last updated:** 04/24/2022