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Organization

MARY'S CENTER FOR MATERNAL AND CHILD CARE, INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MONIQUE MARGARETA POWELL-DAVIS (CHIEF MEDICAL OFFICER)
(202) 424-2655
Entity
Organization

Contact information

Practice address
2333 ONTARIO RD. NW, WASHINGTON, DC 20009-2627
(202) 483-8196
(202) 332-0541
Mailing address
2333 ONTARIO RD, NW, WASHINGTON, DC 20009-2627
(202) 483-8196
(202) 545-2069

Taxonomy

Speciality
Code
Description
License number
State
207VX0000X
Obstetrics Physician
251B00000X
Case Management Agency
261QD0000X
Dental Clinic/Center
64001664
DC
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
H80CS04202
DC
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
64001664
DC
261QM0850X
Adult Mental Health Clinic/Center
261QM0855X
Adolescent and Children Mental Health Clinic/Center
363LX0001X
Obstetrics & Gynecology Nurse Practitioner

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
037536500
DC
05
037564900
DC
05
411949500
MD
Enumeration date
03/26/2007
Last updated
09/29/2025
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