Healthcare Provider Details

I. General information

NPI: 1831301787
Provider Name (Legal Business Name): ALTERNATIVE SOLUTIONS FOR YOUTH, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/04/2007
Last Update Date: 09/30/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1301 L'ENFANT SQUARE SE
WASHINGTON DC
20020
US

IV. Provider business mailing address

1301 L'ENFANT SQ. SE.,
WASHINGTON DC
20020
US

V. Phone/Fax

Practice location:
  • Phone: 202-584-1244
  • Fax: 202-584-1249
Mailing address:
  • Phone: 202-584-1244
  • Fax: 202-584-1249

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code323P00000X
TaxonomyPsychiatric Residential Treatment Facility
License Number
License Number StateDC

VIII. Authorized Official

Name: MR. STANLEY COVINGTON
Title or Position: CEO
Credential:
Phone: 202-584-1387