Organization
VALENCIA DILLON
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VALENCIA DILLON (OWNER)
(901) 461-3759
Entity
Organization
Contact information
Practice address
11706 OLD LANTERN CT, FT WASHINGTON, MD 20744-4254
(901) 461-3759
Mailing address
11706 OLD LANTERN CT, FT WASHINGTON, MD 20744-4254
(901) 461-3759
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
PRC634
DC
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
PRC634
DC
Other
Enumeration date
01/22/2014
Last updated
01/22/2014
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