Organization
INTEGRATED BEHAVIOR SERVICES GROUP INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MARY J SAMBA (CEO)
(202) 610-0144
Entity
Organization
Contact information
Practice address
3200 S ST SE, WASHINGTON, DC 20020
(202) 610-1444
(202) 610-1445
Mailing address
3200 S ST SE, WASHINGTON, DC 20020-2410
(202) 610-1444
(202) 610-1445
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
036003900
DC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036003900
—
DC
Enumeration date
03/13/2007
Last updated
07/10/2018
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