Healthcare Provider Details

I. General information

NPI: 1396149654
Provider Name (Legal Business Name): WASHINGTON CARE UNLIMITED INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/15/2014
Last Update Date: 10/15/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7603 GEORGIA AVE NW SUITE 404
WASHINGTON DC
20012-1617
US

IV. Provider business mailing address

7603 GEORGIA AVE NW SUITE 404
WASHINGTON DC
20012-1617
US

V. Phone/Fax

Practice location:
  • Phone: 301-273-5575
  • Fax: 202-750-7954
Mailing address:
  • Phone: 301-273-5575
  • Fax: 202-750-7954

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State

VIII. Authorized Official

Name: GEORGE MUMA
Title or Position: ADMINISTRATOR
Credential:
Phone: 301-273-5575