| Psychotherapy & Polytrauma Center | |
|
5480 Wisconsin Ave 215b Chevy Chase MD 20815-3530 | |
| (877) 367-8479 | |
| Not Available |
| Full Name | Psychotherapy & Polytrauma Center |
|---|---|
| Speciality | Case Management |
| Location | 5480 Wisconsin Ave, Chevy Chase, Maryland |
| Authorized Official Name and Position | Matthew Lee (CEO OF CLINICAL MANAGEMENT) |
| Authorized Official Contact | 2025287139 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Psychotherapy & Polytrauma Center 2 Irving Ct Stafford VA 22556-6567 Ph: (540) 657-8484 | Psychotherapy & Polytrauma Center 5480 Wisconsin Ave 215b Chevy Chase MD 20815-3530 Ph: (877) 367-8479 |
| NPI Number | 1104975903 |
|---|---|
| Provider Enumeration Date | 01/09/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104975903 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | ID#20569XXX-117275 (District Of Columbia) | Primary |
| 251B00000X | Case Management | ID#20569-XXX117275 (District Of Columbia) | Primary |
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