Organization
LA CLINICA DEL PUEBLO, INC
Active
Parent organization
LA CLINICA DEL PUEBLO
Other names
Alcohol/Substance Abuse Clinic
Organization subpart
Yes
Provider details
NPI number
Legal business name
LA CLINICA DEL PUEBLO
Authorized official
MICAELA ACUNA (PATIENT REVENUE MANAGER)
(240) 582-8828
Entity
Organization
Contact information
Practice address
2831 15TH ST NW, WASHINGTON, DC 20009-4607
(202) 462-4788
(202) 250-3290
Mailing address
2831 15TH ST NW, WASHINGTON, DC 20009-4607
(202) 462-4788
(202) 250-3290
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
037411700
—
DC
Enumeration date
01/03/2008
Last updated
10/09/2024
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