Organization
PSI SERVICES III, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHAWN RUBBIN (COMMS & IT)
(301) 552-7120
Entity
Organization
Contact information
Practice address
8301 PROFESSIONAL PL EAST, SUITE 205, HYATTSVILLE, MD 20785-2078
(301) 552-7120
Mailing address
7101 WISCONSIN AVE, SUITE 1400, BETHESDA, MD 20814-4871
(301) 654-3903
(301) 654-4418
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
0020
DC
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
019115400
—
DC
Enumeration date
01/11/2007
Last updated
11/30/2020
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