Provider Demographics
NPI:1689224776
Name:QUALITY CARE SERVICES, LLC
Entity Type:Organization
Organization Name:QUALITY CARE SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:MAYA
Authorized Official - Middle Name:
Authorized Official - Last Name:SONGAMBELE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:703-826-4269
Mailing Address - Street 1:1818 NEW YORK AVE NE STE 222
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20002-1851
Mailing Address - Country:US
Mailing Address - Phone:202-318-5544
Mailing Address - Fax:
Practice Address - Street 1:1818 NEW YORK AVE NE STE 222
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20002-1851
Practice Address - Country:US
Practice Address - Phone:202-318-5544
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-09-19
Last Update Date:2020-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251S00000XAgenciesCommunity/Behavioral Health
No2084P0804XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyChild & Adolescent PsychiatryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MDS525617048645OtherLICENSE