Organization
CITY WIDE TREATMENT CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAMON EUGENE HALL (CEO)
(202) 409-7467
Entity
Organization
Contact information
Practice address
9104 WIPKEY CT, BOWIE, MD 20720-3233
(301) 464-9617
Mailing address
9104 WIPKEY CT, BOWIE, MD 20720-3233
(301) 464-9617
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
261QM2800X
Methadone Clinic
Primary
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
—
—
Other
Enumeration date
11/05/2012
Last updated
11/05/2012
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