Healthcare Provider Details

I. General information

NPI: 1912324096
Provider Name (Legal Business Name): FOUNDATION FOR CONTEMPORARY MENTAL HEALTH
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/26/2014
Last Update Date: 03/27/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2112 F ST NW SUITE 404
WASHINGTON DC
20037-2715
US

IV. Provider business mailing address

2112 F ST NW SUITE 404
WASHINGTON DC
20037-2715
US

V. Phone/Fax

Practice location:
  • Phone: 202-296-7100
  • Fax: 202-296-8588
Mailing address:
  • Phone: 202-296-7100
  • Fax: 202-296-8588

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License NumberMD3578
License Number StateDC

VIII. Authorized Official

Name: HOWARD ALAN HOFFMAN
Title or Position: PRESIDENT
Credential: M.D.
Phone: 202-296-7100