Organization
PSI SERVICES III, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHAWN RUBBIN (COMMS & IT DIRECTOR)
(301) 552-7120
Entity
Organization
Contact information
Practice address
5820 DIX ST NE, WASHINGTON, DC 20019-6965
(202) 547-3870
Mailing address
8301 PROFESSIONAL PL STE 205, HYATTSVILLE, MD 20785-2353
(301) 552-7120
Taxonomy
Speciality
Code
Description
License number
State
261QD1600X
Developmental Disabilities Clinic/Center
Primary
0020
DC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
019114600
—
DC
Enumeration date
05/10/2007
Last updated
08/21/2020
Update your record
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