Organization
EDWARD C. MAZIQUE PARENT CHILD CENTER, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ALMETA R. KEYS M ED. (EXECUTIVE DIRECTOR)
(202) 462-3375
Entity
Organization
Contact information
Practice address
1719 13TH ST NW, WASHINGTON, DC 20009-4304
(202) 462-3375
(202) 939-8696
Mailing address
1719 13TH ST NW, WASHINGTON, DC 20009-4304
(202) 462-3375
(202) 939-8696
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
251S00000X
Community/Behavioral Health Agency
—
—
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Enumeration date
11/30/2007
Last updated
11/30/2007
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