Organization
CAPITAL COMMUNITY SERVICES, LLC
Active
Organization
CAPITAL COMMUNITY SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CARROLL L PARKS (CEO)
(202) 574-5444
Entity
Organization
Contact information
Practice address
1310 SOUTHERN AVENUE SE, WASHINGTON, DC 20032-4623
(202) 574-5444
Mailing address
3215 CATHEDRAL AVE NW, WASHINGTON, DC 20008-3410
(202) 955-3990
(202) 955-3996
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
—
—
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
DC
Other
Enumeration date
03/18/2009
Last updated
04/05/2011
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