Organization
ISPAR FOUNDATION, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. VIKTORIYA KARAKCHEYEVA LCPC (EXECUTIVE DIRECTOR)
(240) 997-1964
Entity
Organization
Contact information
Practice address
5914 VANDEGRIFT AVE, ROCKVILLE, MD 20851-1940
(240) 997-1964
Mailing address
5914 VANDEGRIFT AVE, ROCKVILLE, MD 20851-1940
(240) 997-1964
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
06/19/2015
Last updated
06/19/2015
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