Organization
COASTAL HEALTHCARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
QUIANA MITCHEM (DIRECTOR OF THERAPY)
(202) 525-1542
Entity
Organization
Contact information
Practice address
3801 CONNECTICUT AVE NW, SUITE 100, WASHINGTON, DC 20008-4530
(202) 525-1542
Mailing address
3801 CONNECTICUT AVE NW, SUITE 100, WASHINGTON, DC 20008-4530
(202) 525-1542
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
SLP000685
DC
Other
Enumeration date
07/17/2013
Last updated
07/17/2013
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