Organization
SELF TO COLLECTIVE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NICOLE BRZOZOWSKI (OWNER)
(202) 455-0793
Entity
Organization
Contact information
Practice address
1717 N ST NW STE 1, WASHINGTON, DC 20036-2827
(202) 455-0793
Mailing address
1717 N ST NW STE 1, WASHINGTON, DC 20036-2827
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
07/25/2025
Last updated
07/25/2025
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