Organization
SERVANT OF ALL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MORRIS DICKERSON (PRESIDENT/ CEO)
(202) 438-7439
Entity
Organization
Contact information
Practice address
3107 WESTOVER DR SE, WASHINGTON, DC 20020-3719
(202) 583-3508
Mailing address
3107 WESTOVER DR SE, WASHINGTON, DC 20020-3719
(202) 583-3508
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
—
—
Other
Enumeration date
11/26/2008
Last updated
11/26/2008
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