Organization
PLANT THE SEED YOUTH TREATMENT SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL YOSEF DAVIS LICENSE PROFESSIONAL (DIRECTOR)
(703) 975-6415
Entity
Organization
Contact information
Practice address
5212 ASTOR PL SE, WASHINGTON, DC 20019-6447
(703) 975-6415
Mailing address
4865 F ST SE, WASHINGTON, DC 20019-6107
(703) 975-6415
(202) 506-5469
Taxonomy
Speciality
Code
Description
License number
State
3245S0500X
Children's Substance Abuse Rehabilitation Facility
Primary
400317001920
DC
Other
Enumeration date
07/13/2017
Last updated
07/13/2017
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