Organization · Type 2 NPI

ST John's Community Service

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Washington, DC

NPI number 1366768194 Active

Practice location

2201 Wisconsin Ave NW, Suite 120
Washington, DC 20007-4105

Call (202) 237-6500 Map

Fax (202) 237-6352

Specialties and licenses

TaxonomyCodeLicense
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Primary 320900000XHFD12-0070 (DC)

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility: A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities.

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About NPI 1366768194

ST John's Community Service's National Provider Identifier is 1366768194, issued on Apr 19, 2010. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (320900000X), and the practice location is in Washington, DC. The record was last updated on Apr 19, 2010.