Organization
WISCONSIN AVE PSYCHIATRIC CENTER INC
Active
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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