Organization
TABULA RASA DOMESTIC VIOLENCE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. AVA ROSS (EXECUTIVE DIRECTOR)
(240) 217-8442
Entity
Organization
Contact information
Practice address
4325 FORBES BLVD STE C, LANHAM, MD 20706-4856
(240) 217-8442
Mailing address
13017 WISTERIA DR # 172, GERMANTOWN, MD 20874-2621
(240) 217-8442
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
05/22/2017
Last updated
05/22/2017
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