DEPARTMENT OF YOUTH REHABILITATION SERVICES NPI 1063643880

NPI Information

NPI: 1063643880
Provider Name: DEPARTMENT OF YOUTH REHABILITATION SERVICES
Classification: Clinic/Center - 261QP2400X
Entity Type: Organization

Specialization: Prison Health

CLIA Number: 09D2188845

Address:
1000 MOUNT OLIVET RD NE
WASHINGTON, DC
ZIP 20002
Phone: (202) 576-8405
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DEPARTMENT OF YOUTH REHABILITATION SERVICES is a prison health clinic center in Washington, DC. DEPARTMENT OF YOUTH REHABILITATION SERVICES NPI is 1063643880. The provider is registered as an organization entity type.

The provider's business location address is:

1000 MOUNT OLIVET RD NE
WASHINGTON, DC
ZIP 20002-210
Phone: (202) 576-8405
Fax: (202) 576-8457

The provider's authorized official is Andrea Weisman .
The authorized official title is Chief Of Health Services and has the following contact phone number (202) 576-8139.

The CLIA number assigned to this NPI record is 09D2188845 - other - gov subst abuse assement with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/28/2009 and was last updated on 7/28/2009.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QP2400X	Clinic/Center	Prison Health	261QP2400X	DISTRICT OF COLUMBIA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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