Organization
COMMUNITY SERVICES AGENCY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. REGINA SCOTT (ASSOCIATE DIRECTOR REIMBURSEMENT)
(202) 671-4001
Entity
Organization
Contact information
Practice address
3849 ALABAMA AVE SE, WASHINGTON, DC 20020-1001
(202) 645-7251
(202) 645-7270
Mailing address
3849 ALABAMA AVE SE, WASHINGTON, DC 20020-1001
(202) 645-7251
(202) 645-7270
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
PRC790
DC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PRC790
LICENSE PROFESSIONAL COUNSELOR
DC
Enumeration date
08/21/2008
Last updated
08/21/2008
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