Organization
DOH APRA
Active
Other names
Model Treatment
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHARLES HALL M.D. (MEDICAL DIRECTOR)
(202) 727-8941
Entity
Organization
Contact information
Practice address
1300 1ST ST NE 2ND FLOOR, WASHINGTON, DC 20002
(202) 727-6916
(202) 727-0092
Mailing address
1300 1ST ST NE RM 315, WASHINGTON, DC 20002-3335
(202) 727-9569
(202) 727-0092
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
PMO242456
DC
Other
Enumeration date
04/26/2007
Last updated
08/22/2020
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