Healthcare Provider Details

I. General information

NPI: 1952441628
Provider Name (Legal Business Name): UNIVERSAL HEALTHCRE MANAGEMENT SERVICES, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/08/2007
Last Update Date: 09/26/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3230 PENNSYLVANIA AVE SE STE 215
WASHINGTON DC
20020-3724
US

IV. Provider business mailing address

3230 PENNSYLVANIA AVE SE STE 215
WASHINGTON DC
20020-3724
US

V. Phone/Fax

Practice location:
  • Phone: 202-583-1181
  • Fax: 202-583-1186
Mailing address:
  • Phone: 202-583-1181
  • Fax: 202-583-1186

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number
License Number StateDC
# 2
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number036395200
License Number StateDC

VIII. Authorized Official

Name: MR. WILLIAM FRANK PATTERSON
Title or Position: COO
Credential:
Phone: 202-583-1181