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Organization

LIFE POINT HEALTHCARE SERVICES OF DC LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. DEVANTE MULLEN (EXECUTIVE DIRECTOR)
(771) 220-9224
Entity
Organization

Contact information

Practice address
1160 VARNUM ST NE STE 306, WASHINGTON, DC 20017-2103
(771) 217-0303
Mailing address
PO BOX 966, DURHAM, NC 27702-0966
(771) 220-9224

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
3245S0500X
Children's Substance Abuse Rehabilitation Facility

Other

Enumeration date
01/08/2025
Last updated
01/08/2025
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