Organization
WISCONSIN AVE PSYCHIATRIC CENTER INC
Active
Other names
Psychiatric Institute of Washington
Organization subpart
No
Provider details
NPI number
Authorized official
STEVE FILTON (VICE PRESIDENT)
(610) 768-3482
Entity
Organization
Contact information
Practice address
4228 WISCONSIN AVE NW, WASHINGTON, DC 20016-2138
(202) 885-5600
Mailing address
4228 WISCONSIN AVE NW, WASHINGTON, DC 20016-2138
(202) 885-5600
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
—
—
283Q00000X
Psychiatric Hospital
Primary
HFD01-0011
DC
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
026392500
—
DC
05
—
026402100
—
DC
05
—
074500600
—
MD
05
—
208290000
—
MD
Enumeration date
05/26/2006
Last updated
06/04/2020
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