person
Queen Ebogu
Mental Illness Community Based Residential Treatment Facility in Washington, District of Columbia
NPI 1609587153

Queen Ebogu is a Mental Illness Community Based Residential Treatment Facility based in Washington, DC. Queen Ebogu practices in Washington, DC. The NPI Number for Queen Ebogu is 1609587153 and holds a License No. (District of Columbia).

The current practice location address for Queen Ebogu is 1160 Varnum St Ne, Washington, DC and can be reached out via phone at 202-525-1715.

Location: 1160 Varnum St Ne, Washington, DC, 20017-2107
person
Provider Profile Details
NPI Number
1609587153
Provider Name
Queen Ebogu
Credential
Provider Entity Type
Individual
Gender
Female
Address
1160 Varnum St Ne, Washington, DC, 20017-2107
Phone Number
202-525-1715
Fax Number
Provider Enumeration Date
12/06/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1160 Varnum St Ne
City
State
Zip
20017-2107
Phone Number
202-525-1715
Fax Number
person
Provider Business Mailing Address Details
Address
1160 Varnum St Ne
City
State
Zip
20017-2107
Phone Number
202-525-1715
Fax Number
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Community Based Residential Treatment Facility, Mental Illness
Speciality
-
Taxonomy
License No.
()
Definition
A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.
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