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Organization

WISCONSIN AVE PSYCHIATRIC CENTER, INC

Active
Other names
Psychiatric Institute of Washington
Organization subpart
No

Provider details

NPI number
Authorized official
MR. CHARLES BAUMGARDNER (EXECUTIVE VICE PRESIDENT/CFO)
(202) 885-5679
Entity
Organization

Contact information

Practice address
4228 WISCONSIN AVE NW, WASHINGTON, DC 20016-2138
(202) 885-5600
Mailing address
4228 WISCONSIN AVE NW, WASHINGTON, DC 20016-2138
(202) 885-5600

Taxonomy

Speciality
Code
Description
License number
State
283Q00000X
Psychiatric Hospital
Primary
HFD01-0011
DC

Other

Enumeration date
05/21/2012
Last updated
05/21/2012
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