Healthcare Provider Details

I. General information

NPI: 1194256032
Provider Name (Legal Business Name): CAPITOL HILL EDUCATION RESOURCES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/22/2017
Last Update Date: 03/22/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

804 3RD ST SE
WASHINGTON DC
20003-3443
US

IV. Provider business mailing address

804 3RD ST SE
WASHINGTON DC
20003-3443
US

V. Phone/Fax

Practice location:
  • Phone: 202-854-0316
  • Fax:
Mailing address:
  • Phone: 202-854-0316
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code252Y00000X
TaxonomyEarly Intervention Provider Agency
License Number
License Number State

VIII. Authorized Official

Name: MS. MONICA LYNETTE JOHNSON
Title or Position: MANAGING PARTNER
Credential:
Phone: 202-270-0236