NPI | 1518124205 |
---|---|
Doing Business As | THE BERKSHIRE PAVILION |
Entity Type | Organization |
Authorized Contact | GARRY W HOYES CEO/President 202-955-3990 |
Organization Subpart ? | No |
Primary Taxonomy | 283Q00000X Psychiatric Hospital (Licence: PA 220620) |
Additional Taxonomies | 103T00000X Psychologist |
261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: PA 220580) | |
261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: PA 220610) | |
Enumeration Date | 2008-05-20 |
Last Update Date | 2009-07-23 |