Individual
HENRY PIERCE III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
601 RALEIGH PL SE, WASHINGTON, DC 20032-4221
(202) 236-4362
(202) 562-5602
Mailing address
PO BOX 54790, WASHINGTON, DC 20032-9390
(202) 236-4362
(202) 562-5602
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
11215-264
DC
251S00000X
Community/Behavioral Health Agency
Primary
11215-264
DC
252Y00000X
Early Intervention Provider Agency
11215-264
DC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
041280200
—
DC
01
—
11215-264
ASARS DC DEPARTMENT OF BEHAVIORAL HEALTH
DC
Enumeration date
10/12/2016
Last updated
10/12/2016
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