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Organization

BUMED

Active
Organization subpart
No

Provider details

NPI number
Authorized official
CHARLES L. GOULD (PROGRAM MANAGER FOR SUBSTANCE ABUSE)
(202) 762-3016
Entity
Organization

Contact information

Practice address
2300 E ST NW CODE # M3B6, WASHINGTON, DC 20372-0001
(202) 762-3017
(202) 762-3023
Mailing address
2300 E ST NW CODE # M3C3, WASHINGTON, DC 20372-0001
(202) 762-3017
(202) 762-3023

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
LMSW 3927
KS

Other

Enumeration date
10/16/2006
Last updated
07/17/2008
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