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Organization

CAPITAL CLUBHOUSE INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. MARIA NUNEZ LICSW (EXECUTIVE DIRECTOR)
(202) 308-9690
Entity
Organization

Contact information

Practice address
1313 NEW YORK AVE NW FL 1, WASHINGTON, DC 20005-4701
(202) 308-9690
Mailing address
1313 NEW YORK AVE NW FL 1, WASHINGTON, DC 20005-4701
(202) 308-9690

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary

Other

Enumeration date
02/20/2019
Last updated
03/04/2020
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