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Organization

ACT-4

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. DARIN STREET BS (MENTAL HEALTH SPECIALIST)
(202) 645-7277
Entity
Organization

Contact information

Practice address
3849 ALABAMA AVE SE, WASHINGTON, DC 20020-1001
(202) 645-7272
(202) 645-7270
Mailing address
1819 BURKE ST SE, WASHINGTON, DC 20003-2512
(202) 543-7747

Taxonomy

Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
2025579
DC

Other

Enumeration date
03/14/2007
Last updated
06/16/2008
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