Therapy Of Greater Washington Llc | |
5480 Wisconsin Ave Chevy Chase MD 20815-3530 | |
(301) 807-3416 | |
Not Available |
Full Name | Therapy Of Greater Washington Llc |
---|---|
Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
Location | 5480 Wisconsin Ave, Chevy Chase, Maryland |
Authorized Official Name and Position | Julian Roach (OWNER) |
Authorized Official Contact | 3018073416 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Therapy Of Greater Washington Llc 5480 Wisconsin Ave Ste 203 Chevy Chase MD 20815-3524 Ph: (301) 807-3416 | Therapy Of Greater Washington Llc 5480 Wisconsin Ave Chevy Chase MD 20815-3530 Ph: (301) 807-3416 |
NPI Number | 1154107803 |
---|---|
Provider Enumeration Date | 09/07/2023 |
Last Update Date | 09/07/2023 |
Certification Date | 09/07/2023 |
Identifier | Type | State | Issuer |
---|---|---|---|
1154107803 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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