Organization
SCRUPLES CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JOSEPHINE STATON LPC (CLINICAL MANAGER)
(202) 581-2455
Entity
Organization
Contact information
Practice address
2811 PENN AVE SE, WASHINGTON, DC 20020-3865
(202) 581-2455
(202) 581-2459
Mailing address
2811 PENN AVE SE, WASHINGTON, DC 20020-3865
(202) 581-2455
(202) 581-2459
Taxonomy
Speciality
Code
Description
License number
State
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary
PRC 236
DC
261QM0855X
Adolescent and Children Mental Health Clinic/Center
PRC 236
DC
Other
Enumeration date
05/12/2011
Last updated
05/12/2011
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