Healthcare Provider Details

I. General information

NPI: 1417387358
Provider Name (Legal Business Name): UPLIFTING SISTERS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/13/2013
Last Update Date: 11/13/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1516 K ST SE # 204
WASHINGTON DC
20003-3239
US

IV. Provider business mailing address

6313 BENTHAM CT
FT WASHINGTON MD
20744-3107
US

V. Phone/Fax

Practice location:
  • Phone: 202-500-3264
  • Fax:
Mailing address:
  • Phone: 202-500-3264
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code324500000X
TaxonomySubstance Abuse Rehabilitation Facility
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code3245S0500X
TaxonomyChildren's Substance Abuse Rehabilitation Facility
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code344600000X
TaxonomyTaxi
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code347C00000X
TaxonomyPrivate Vehicle
License Number
License Number State
# 6
Primary TaxonomyY
Taxonomy Code323P00000X
TaxonomyPsychiatric Residential Treatment Facility
License Number
License Number State

VIII. Authorized Official

Name: CYNTHIA HOBSON
Title or Position: EXECUTIVE DIRECTOR
Credential:
Phone: 202-500-3264