Organization
INNOVATIVE URBAN HEALTH SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BERNARD T AKINSEYE (CEO)
(240) 595-8191
Entity
Organization
Contact information
Practice address
1427 GOOD HOPE RD SE, WASHINGTON, DC 20020-5614
(240) 595-8191
Mailing address
1427 GOOD HOPE RD SE, WASHINGTON, DC 20020-5614
(240) 595-8191
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
LPC #1010
DC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1407112584
MCO, HMO
DC
Enumeration date
05/11/2017
Last updated
05/11/2017
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