Act-4

NPI #1316070535 in Washington, District of Columbia

Provider Information

NPI Number: 1316070535
Entity Type: Organization
Organization Name: Act-4
Primary Specialty: Case Management
Enumeration Date: Mar 14, 2007
Last Updated: Jun 16, 2008

Practice Location

Address: 3849 ALABAMA AVE SE
City: Washington
State: District of Columbia
ZIP Code: 20020-1001
Phone: (202) 645-7272

Authorized Official

Name: MR. DARIN STREET, BS
Title: MENTAL HEALTH SPECIALIST
Phone: (202) 645-7277

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Case Management	251B00000X	Primary

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