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NPI Code Detail

MEDICARE: LATIN AMERICAN YOUTH CENTER

MEDICARE: LATIN AMERICAN YOUTH CENTER
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
1261QM0801XMental Health Clinic/Center (Including Community Mental Health Center)LC50079207DC

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1851830665
Entity Type Code : Organization
Provider Name (Legal Business Name) : LATIN AMERICAN YOUTH CENTER
Provider Business Mailing Address
First Line : 1419 COLUMBIA RD NW
Second Line :
City : WASHINGTON
State : DC
Zip : 20009-4705
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1419 COLUMBIA RD NW
Second Line :
City : WASHINGTON
State : DC
Zip : 20009-4705
Country : US
Telephone Number : 202-319-2225
Fax Number :
Authorized Official
Title or Position : CEO
Name : LORI KAPLAN
Credential :
Telephone Number : 202-319-2225
Provider Enumeration Date : 02/14/2017
Last Update Date : 02/14/2017

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Directions to “LATIN AMERICAN YOUTH CENTER ” Practice Location

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