Organization
DEDICATED CARE HEALTH SERVICES, INC.
Active
Organization
DEDICATED CARE HEALTH SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS AMIBANG TANUE (CEO)
(202) 723-1200
Entity
Organization
Contact information
Practice address
7600 GEORGIA AVE NW STE 205, WASHINGTON, DC 20012-1616
(202) 723-1200
(202) 723-1211
Mailing address
7600 GEORGIA AVE NW STE 205, WASHINGTON, DC 20012-1616
(202) 723-1200
(202) 723-1211
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
060117-312
DC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
060117-312
DBH - CORE SERVICE AGENCY CERTIFICATION
DC
Enumeration date
07/30/2018
Last updated
07/30/2018
Update your record
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