Provider First Line Business Practice Location Address:
4600 CONNECTICUT AVE NW
Provider Second Line Business Practice Location Address:
SUITE 111 PSYCHIATRIC & FAMILY CONSULTANTS
Provider Business Practice Location Address City Name:
WASHINGTON
Provider Business Practice Location Address State Name:
DC
Provider Business Practice Location Address Postal Code:
20008-5709
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
202-362-2212
Provider Business Practice Location Address Fax Number:
202-248-0634
Provider Enumeration Date:
12/09/2005