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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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