MEDICARE: NATIONAL CHILDREN'S CENTER, INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251C00000X	Developmentally Disabled Services Day Training Agency

General Provider Information

NPI Number	:	1093920498
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NATIONAL CHILDREN'S CENTER, INC.

Provider Business Mailing Address
First Line	:	6200 2ND ST NW
Second Line	:
City	:	WASHINGTON
State	:	DC
Zip	:	20011-1426
Country	:	US
Telephone Number	:	202-722-2300
Fax Number	:	202-722-2563

Provider Business Practice Location Address
First Line	:	232 CARROLL ST NW
Second Line	:
City	:	WASHINGTON
State	:	DC
Zip	:	20012-2006
Country	:	US
Telephone Number	:	202-829-7526
Fax Number	:	202-829-7851

Authorized Official
Title or Position	:	CFO
Name	:	MICHELE DURBIN
Credential	:
Telephone Number	:	202-722-2356

Provider Enumeration Date	:	05/11/2007
Last Update Date	:	08/22/2020

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