Healthcare Provider Details

I. General information

NPI: 1346706470
Provider Name (Legal Business Name): NEIGHBORHOOD HEALTH GROUP, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/13/2019
Last Update Date: 02/14/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1775 EYE ST NW STE 1150
WASHINGTON DC
20006-2435
US

IV. Provider business mailing address

1775 EYE ST NW STE 1150
WASHINGTON DC
20006-2435
US

V. Phone/Fax

Practice location:
  • Phone: 703-791-9480
  • Fax:
Mailing address:
  • Phone: 703-791-9480
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code320900000X
TaxonomyIntellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
License Number
License Number State

VIII. Authorized Official

Name: JOSEPH SAINT
Title or Position: EXECUTIVE DIRECTOR
Credential: CDD4
Phone: 703-791-9480