Healthcare Provider Details

I. General information

NPI: 1912027715
Provider Name (Legal Business Name): NEIGHBORS' CONSEJO
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/29/2007
Last Update Date: 09/15/2025
Certification Date: 09/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6323 GEORGIA AVE NW STE 206
WASHINGTON DC
20011-1141
US

IV. Provider business mailing address

6323 GEORGIA AVE NW STE 206
WASHINGTON DC
20011-1141
US

V. Phone/Fax

Practice location:
  • Phone: 202-234-6855
  • Fax: 202-234-4863
Mailing address:
  • Phone: 202-234-6855
  • Fax: 202-234-4863

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QR0405X
TaxonomySubstance Use Disorder Rehabilitation Clinic/Center
License Number102700A-058
License Number StateDC
# 2
Primary TaxonomyN
Taxonomy Code324500000X
TaxonomySubstance Abuse Rehabilitation Facility
License Number100304R-142
License Number StateDC
# 3
Primary TaxonomyY
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number037009100
License Number StateDC

VIII. Authorized Official

Name: NABIL IBRAHIM
Title or Position: COMPTROLLER
Credential:
Phone: 202-234-6855