Organization
DIMENSIONS
Active
Other names
Psychotherapy & Polytrauma center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MATTHEW LEE JR. MSW (CEO OF CLINICAL MANAGEMENT)
(202) 528-7139
Entity
Organization
Contact information
Practice address
5480 WISCONSIN AVE, 215B, CHEVY CHASE, MD 20815-3530
(877) 367-8479
Mailing address
2 IRVING CT, STAFFORD, VA 22556-6567
(540) 657-8484
(540) 657-8484
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
ID#20569XXX-117275
DC
251B00000X
Case Management Agency
ID#20569-XXX117275
DC
Other
Enumeration date
01/09/2007
Last updated
09/11/2025
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