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Organization

MCCLENDON CENTER

Active
Organization subpart
No

Provider details

NPI number
Authorized official
SANA S RASUL (HR DIRECTOR)
(202) 745-0073
Entity
Organization

Contact information

Practice address
1338 N CAPITOL ST NW, WASHINGTON, DC 20002-3396
(202) 745-0073
(202) 379-3478
Mailing address
1338 N CAPITOL ST NW, WASHINGTON, DC 20002-3396
(202) 745-0073
(202) 379-3478

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
B143006
DC
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
B143006
DC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
036405700
DC
Enumeration date
07/10/2006
Last updated
01/31/2017
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