Healthcare Provider Details

I. General information

NPI: 1316201684
Provider Name (Legal Business Name): ADOLF ENOH
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/01/2012
Last Update Date: 07/22/2026
Certification Date: 07/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1303 L'ENFANT SQUARE
SE DC
20020
US

IV. Provider business mailing address

9400 GRAND BLVD APT 2256
LARGO MD
20774-2654
US

V. Phone/Fax

Practice location:
  • Phone: 202-269-2401
  • Fax: 202-544-8216
Mailing address:
  • Phone: 404-992-0332
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License NumberCACII200001303
License Number StateDC
# 2
Primary TaxonomyY
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: