Organization
PSI SERVICES 111 INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. YVONNE BRUNTON ALI PH.D. (PRESIDENT)
(202) 547-3870
Entity
Organization
Contact information
Practice address
770 M ST SE, WASHINGTON, DC 20003-3609
(202) 547-3870
(202) 546-9642
Mailing address
770 M ST SE, WASHINGTON, DC 20003-3609
(202) 547-3870
(202) 546-9642
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
CR#1179560
DC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
055898500
—
DC
Enumeration date
10/12/2015
Last updated
10/12/2015
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