Organization · Type 2 NPI
Department of Youth Rehabilitation Services
Prison Health Clinic/Center · Washington, DC
NPI number
1063643880
Active
Practice location
1000 Mount Olivet Rd NE
Washington, DC 20002-2210
Fax (202) 576-8457
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Prison Health Clinic/Center Primary | 261QP2400X | 261QP2400X (DC) |
Prison Health Clinic/Center: Definition to come...
5 other providers at this address
- Calvin Ivy MasseHome Health Aide Washington, DC NPI 1134740996
- Christopher Lee Hampton, FNP-C, DNPFamily Nurse Practitioner Washington, DC NPI 1043901424
- Ifeanyi Bosah, LPCMental Health Counselor Washington, DC NPI 1710640578
- Safuratu Ajayi Porter, CRNP, FNP-CFamily Nurse Practitioner Washington, DC NPI 1407797863
- Theresa Kelly-Holmes, PhDPsychologist Washington, DC NPI 1184051062
About NPI 1063643880
Department of Youth Rehabilitation Services's National Provider Identifier is 1063643880, issued on Jul 28, 2009. The primary taxonomy on file is Prison Health Clinic/Center (261QP2400X), and the practice location is in Washington, DC. The record was last updated on Jul 28, 2009.