Organization
AMIGAS MENTAL HEALTH SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK HAUFRECT (OWNER)
(202) 329-9608
Entity
Organization
Contact information
Practice address
1419 V ST NW # 309, WASHINGTON, DC 20009-5806
(202) 299-1169
(202) 567-6377
Mailing address
1419 V ST NW # 309, WASHINGTON, DC 20009-5806
(202) 299-1169
(202) 567-6377
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
400312000113
DC
Other
Enumeration date
02/17/2012
Last updated
02/17/2012
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