Organization
T.S. TRASK INC
Active
Other names
Innovative Clinical Associates
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CARI BROWN-DUNCAN LCSW-C (CLINICAL DIRECTOR)
(301) 565-0720
Entity
Organization
Contact information
Practice address
8701 GEORGIA AVE, SUITE 611, SILVER SPRING, MD 20910-3713
(301) 565-0720
(301) 565-0721
Mailing address
8701 GEORGIA AVE, SUITE 611, SILVER SPRING, MD 20910-3713
(301) 565-0720
(301) 565-0721
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
11989
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
540053800
—
MD
Enumeration date
01/08/2010
Last updated
02/26/2013
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