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Organization

FEDERAL CITY RECOVERY SERVICES

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. HENRY PRIMES PIERCE III (PRESIDENT / CEO)
(202) 236-4362
Entity
Organization

Contact information

Practice address
601 RALEIGH PL SE, WASHINGTON, DC 20032-4221
(202) 735-5579
(202) 735-5583
Mailing address
PO BOX 54790, WASHINGTON, DC 20032-9390
(202) 236-4362

Taxonomy

Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
3245S0500X
Children's Substance Abuse Rehabilitation Facility
Primary
021308A-Y-186
DC
3245S0500X
Children's Substance Abuse Rehabilitation Facility

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
111215-264
DC CERTIFICATION
DC
Enumeration date
04/12/2008
Last updated
04/28/2021
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