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Organization
INNOVATIVE CONCEPTS, INC.
Active
Organization
INNOVATIVE CONCEPTS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL LAWRENCE SLAUGHTER JR. (EXECUTIVE DIRECTOR)
(301) 440-7908
Entity
Organization
Contact information
Practice address
1325 G ST NW, SUITE 500, WASHINGTON, DC 20005-3104
(301) 440-7908
Mailing address
8639B 16TH ST, SUITE D, SILVER SPRING, MD 20910-2273
(301) 440-7908
Taxonomy
Speciality
Code
Description
License number
State
261QD1600X
Developmental Disabilities Clinic/Center
Primary
—
NULL
320800000X
Mental Illness Community Based Residential Treatment Facility
—
MD
Other
Enumeration date
03/30/2015
Last updated
07/21/2022
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