Organization
URBAN BEHAVIORAL ASSOCIATES DC PLLC
Active
Other names
Congress Heights Life Skills Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TRACEE BURROUGHS (CEO)
(410) 779-3102
Entity
Organization
Contact information
Practice address
3029 MARTIN LUTHER KING JR AVE SE, WASHINGTON, DC 20032-2506
(202) 971-4051
(202) 563-0109
Mailing address
2310 N CHARLES ST, BALTIMORE, MD 21218-5127
(410) 779-3102
(410) 230-2687
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
09/29/2014
Last updated
09/29/2014
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