Healthcare Provider Details

I. General information

NPI: 1689224776
Provider Name (Legal Business Name): QUALITY CARE SERVICES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/19/2019
Last Update Date: 09/09/2020
Certification Date: 09/09/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1818 NEW YORK AVE NE STE 222
WASHINGTON DC
20002-1851
US

IV. Provider business mailing address

1818 NEW YORK AVE NE STE 222
WASHINGTON DC
20002-1851
US

V. Phone/Fax

Practice location:
  • Phone: 202-318-5544
  • Fax:
Mailing address:
  • Phone: 202-318-5544
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2084P0804X
TaxonomyChild & Adolescent Psychiatry Physician
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: MS. MAYA SONGAMBELE
Title or Position: OWNER
Credential:
Phone: 703-826-4269