Organization
CAPITAL BEHAVIORAL HEALTH, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GARRY W HOYES (PRESIDENT)
(202) 955-3990
Entity
Organization
Contact information
Practice address
1310 SOUTHERN AVE SE, WASHINGTON, DC 20032-4623
(202) 574-6504
(202) 373-5982
Mailing address
3215 CATHEDRAL AVE NW, WASHINGTON, DC 20008-3410
(202) 955-3990
(202) 955-3996
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
283Q00000X
Psychiatric Hospital
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
153833
MEDICARE PART B PTAN
—
Enumeration date
12/01/2008
Last updated
07/23/2009
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