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Organization

CAPITOL HILL SUPPORTIVE SERVICES PROGRAMS

Active
Organization subpart
No

Provider details

NPI number
Authorized official
PETER SHIN DPM (PRESIDENT)
(202) 547-7050
Entity
Organization

Contact information

Practice address
700 CONSTITUTION AVE NE, WASHINGTON, DC 20002-6058
(202) 547-7050
Mailing address
700 CONSTITUTION AVE NE, WASHINGTON, DC 20002-6058
(202) 547-7050

Taxonomy

Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
DC
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
DC

Other

Enumeration date
04/09/2008
Last updated
04/09/2008
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