Organization
ISPAR FOUNDATION, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. VICTORIA KARAKCHEYEVA (EXECUTIVE DIRECTOR)
(240) 997-1964
Entity
Organization
Contact information
Practice address
4635 RIVER RD, BETHESDA, MD 20816-3031
(240) 997-1964
Mailing address
5916 VANDEGRIFT AVE, ROCKVILLE, MD 20851-1940
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
MH-1974
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MH-1974
DHMH
MD
Enumeration date
05/09/2016
Last updated
05/09/2016
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