Individual provider · Type 1 NPI

Supavinee Phanngoen

Community/Behavioral Health Agency · Washington, DC

NPI number 1679276380 Active

Practice location

2811 Pennsylvania Ave SE # Ll
Washington, DC 20020-3865

Call (202) 894-6811 Map

Mailing address

12804 Bluhill Rd
Silver Spring, MD 20906-4026

Specialties and licenses

TaxonomyCodeLicense
Community/Behavioral Health Agency Primary 251S00000XNone listed

Community/Behavioral Health Agency: A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day suppo…

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About NPI 1679276380

Supavinee Phanngoen's National Provider Identifier is 1679276380, issued on Mar 22, 2023. The primary taxonomy on file is Community/Behavioral Health Agency (251S00000X), and the practice location is in Washington, DC. The record was last updated on Mar 22, 2023.