Organization
PSYCHIATRIC CENTER CHARTERED,INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ELLIRE HALL LICSW (CHIEF EXECUTIVE OFFICER)
(202) 635-3577
Entity
Organization
Contact information
Practice address
3001 BLADENSBURG RD NE, WASHINGTON, DC 20018-2235
(202) 635-3577
(202) 635-0906
Mailing address
PO BOX 41368, WASHINGTON, DC 20018-0768
(202) 635-3577
(202) 635-0906
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6416
CAREFIRST- OUTPATIENT
DC
01
—
GZ3-015
CAREFIRST - DAY SERVICES
DC
Enumeration date
11/28/2006
Last updated
08/22/2020
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