=====================================================
General NPI Number Information
=====================================================
NPI Number | 1306082839
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | AOK MANAGEMENT & CARE INC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 01/06/2009
-----------------------------------------------------
Last Update Date | 01/06/2009
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 1901 NAYLOR RD SE
-----------------------------------------------------
City | WASHINGTON
-----------------------------------------------------
State | DC
-----------------------------------------------------
Zip | 20020-6805
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 202-406-0166
-----------------------------------------------------
Fax | 202-747-5405
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 1901 NAYLOR RD SE
-----------------------------------------------------
City | WASHINGTON
-----------------------------------------------------
State | DC
-----------------------------------------------------
Zip | 20020-6805
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 202-406-0166
-----------------------------------------------------
Fax | 202-747-5405
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | CEO/DIRECTOR
-----------------------------------------------------
Name | MS. COLETHEA D FLYTHE
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 202-230-1021
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 101YM0800X
-----------------------------------------------------
Taxonomy Name | Mental Health Counselor
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------