Organization
KC COMMUNITY SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. INNOCENT CHIA (PRESIDENT/OWNER)
(240) 481-0557
Entity
Organization
Contact information
Practice address
2412 MINNESOTA AVE SE STE A, WASHINGTON, DC 20020-5300
(202) 957-7456
(202) 747-7754
Mailing address
2412 MINNESOTA AVE SE STE A, WASHINGTON, DC 20020-5300
(202) 957-7456
Taxonomy
Speciality
Code
Description
License number
State
177F00000X
Lodging Provider
Primary
—
—
251B00000X
Case Management Agency
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
047118368
—
DC
Enumeration date
01/25/2022
Last updated
10/17/2025
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