Healthcare Provider Details

I. General information

NPI: 1346427630
Provider Name (Legal Business Name): NEIGHBORS CONSEJO
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/29/2008
Last Update Date: 01/29/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3118 16TH ST NW
WASHINGTON DC
20010-3301
US

IV. Provider business mailing address

3118 16TH ST NW
WASHINGTON DC
20010-3301
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 TaxonomyY
Taxonomy Code324500000X
TaxonomySubstance Abuse Rehabilitation Facility
License Number
License Number StateDC

VIII. Authorized Official

Name: MRS. RUTH TILLETT
Title or Position: INTERIM CEO
Credential:
Phone: 202-234-6855