Organization
COMMUNITY ACTION GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. HAROLD GORDON (EXECUTIVE DIRECTOR)
(202) 543-4558
Entity
Organization
Contact information
Practice address
3325 13TH ST SE, WASHINGTON, DC 20032-4533
(202) 373-0656
(202) 373-0665
Mailing address
3323 13TH ST., S.E., WASHINGTON, DC 20032
(202) 373-0650
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
06/30/2008
Last updated
06/30/2008
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