Healthcare Provider Details

I. General information

NPI: 1922841410
Provider Name (Legal Business Name): KAHAK, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/13/2024
Last Update Date: 03/12/2026
Certification Date: 03/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2041 MARTIN LUTHER KING JR AVE SE STE 107
WASHINGTON DC
20020-7033
US

IV. Provider business mailing address

2041 MARTIN LUTHER KING JR AVE SE STE 107
WASHINGTON DC
20020-7033
US

V. Phone/Fax

Practice location:
  • Phone: 301-641-1514
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code261QM0855X
TaxonomyAdolescent and Children Mental Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MICHEL KAHAK
Title or Position: CEO
Credential:
Phone: 202-722-1700