Organization
MARYS CENTER FOR MATERNAL AND CHILD CARE INC
Active
Other names
Mary's Center for Maternal and Child Care, Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
NANCY BAN (CHIEF EXECUTIVE OFFICER)
(202) 424-2655
Entity
Organization
Contact information
Practice address
3912 GEORGIA AVE. NW, WASHINGTON, DC 20011-5861
(202) 483-8196
(202) 545-2070
Mailing address
2333 ONTARIO RD NW, WASHINGTON, DC 20009-2627
(202) 483-8196
(202) 545-2069
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
261QD0000X
Dental Clinic/Center
64001664
DC
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
64001664
DC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
037536500
—
DC
05
—
037564900
—
DC
05
—
039315100
—
MD
05
—
411949500
—
MD
Enumeration date
10/23/2012
Last updated
04/07/2026
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