Organization
INTELLECTUAL AND DEVELOPMENTAL DISABILITIES SERVICES SOLUTIONS
Active
Other names
IDDSS
Organization subpart
No
Provider details
NPI number
Authorized official
MILDRED TEMBUNDE (CREDENTIALING)
(571) 337-5732
Entity
Organization
Contact information
Practice address
712 15TH ST NE, WASHINGTON, DC 20002-4508
(571) 337-5732
Mailing address
712 15TH ST NE, WASHINGTON, DC 20002-4508
Taxonomy
Speciality
Code
Description
License number
State
261QD1600X
Developmental Disabilities Clinic/Center
Primary
—
—
Other
Enumeration date
04/05/2021
Last updated
04/05/2021
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