Wisconsin Ave Psychiatric Center, INC
NPI #1003176371 in Washington, District of Columbia
Provider Information
- NPI Number
- 1003176371
- Entity Type
- Organization
- Organization Name
- Wisconsin Ave Psychiatric Center, INC
- Primary Specialty
- Psychiatric Hospital
- Enumeration Date
- May 21, 2012
- Last Updated
- May 21, 2012
Practice Location
- Address
- 4228 WISCONSIN AVE NW
- City
- Washington
- State
- District of Columbia
- ZIP Code
- 20016-2138
- Phone
- (202) 885-5600
Authorized Official
- Name
- MR. CHARLES BAUMGARDNER
- Title
- EXECUTIVE VICE PRESIDENT/CFO
- Phone
- (202) 885-5679
Specialties & Taxonomy Codes
| Specialty |
|---|
| Psychiatric Hospital |
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