Organization
NOT-FOR-PROFIT HOSPITAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLETA WASHINGTON (VICE PRESIDENT)
(202) 574-6611
Entity
Organization
Contact information
Practice address
1310 SOUTHERN AVE SE, WASHINGTON, DC 20032-4623
(202) 574-6611
(202) 574-7188
Mailing address
1310 SOUTHERN AVE SE, WASHINGTON, DC 20032-4623
(202) 574-6611
(202) 574-7188
Taxonomy
Speciality
Code
Description
License number
State
273R00000X
Psychiatric Hospital Unit
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
041712800
—
DC
05
—
1619152410
—
VA
05
—
414011700
—
MD
Enumeration date
09/14/2010
Last updated
08/07/2015
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