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Organization

INTEGRATED MENTAL HEALTH CLINIC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
HENRY JIMENEZ (OWNER)
(202) 352-1553
Entity
Organization

Contact information

Practice address
950 N WASHINGTON ST FL 3, ALEXANDRIA, VA 22314-2398
(703) 570-5657
(703) 570-5661
Mailing address
4014 DIAMONDHEAD AVE, BOWIE, MD 20721-1308
(202) 352-1553

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary

Other

Enumeration date
08/04/2025
Last updated
08/04/2025
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