Organization
MBI HEALTH SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLES AVERY (CHIEF EXECUTIVE OFFICER)
(202) 388-4300
Entity
Organization
Contact information
Practice address
4130 HUNT PL NE, WASHINGTON, DC 20019-3565
(202) 388-4300
Mailing address
4130 HUNT PL NE, WASHINGTON, DC 20019-3565
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
LC301357
DC
Other
Enumeration date
08/19/2015
Last updated
04/24/2018
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