Organization
ICARE HEALTHCARE SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RUTH WILLIAMS NP (OWNER)
(240) 466-2855
Entity
Organization
Contact information
Practice address
4645 NANNIE HELEN BURROUGHS AVE NE STE 107, WASHINGTON, DC 20019-3622
(240) 466-2855
Mailing address
4645 NANNIE HELEN BURROUGHS AVE NE STE 107, WASHINGTON, DC 20019-3622
(240) 466-2855
Taxonomy
Speciality
Code
Description
License number
State
261QD1600X
Developmental Disabilities Clinic/Center
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
11/11/2022
Last updated
10/30/2024
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