Organization
MALACHITE INSTITUTE FOR BEHAVIORAL HEALTH CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LAYLA KASSEM PHD (OWNER)
(202) 248-0316
Entity
Organization
Contact information
Practice address
5415 CONNECTICUT AVE NW, SUITE T43, WASHINGTON, DC 20015-2765
(202) 248-0316
Mailing address
5415 CONNECTICUT AVE NW, SUITE T43, WASHINGTON, DC 20015-2765
(202) 248-0316
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY1000650
DC
Other
Enumeration date
10/30/2015
Last updated
10/30/2015
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