Organization
CRISIS MANAGEMENT INTROSPECT
Active
Other names
none
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CAROLYN ELAINE GRAVELY-MOSS,PH.D. PH.D (DIRECTOR)
(202) 581-0778
Entity
Organization
Contact information
Practice address
2314 MINNESOTA AVE SE, WASHINGTON, DC, WASHINGTON, DC 20020-5326
(202) 581-0778
(202) 581-0778
Mailing address
2314 MINNESOTA AVE SE, WASHINGTON, DC, WASHINGTON, DC 20020-5326
(202) 581-0778
(202) 581-0778
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
LPC-0164
DC
Other
Enumeration date
07/28/2007
Last updated
10/02/2008
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