Organization · NPI-2

5615 Woodley LLC

Case Management · Washington, DC

NPI number1114734027
StatusActive
Last updated in NPPESOct 15, 2026

Details

NPI
1114734027
Entity type
Organization (NPI-2)
Legal business name
5615 Woodley LLC
Organization subpart
No
Enumeration date
Dec 13, 2024
Certification date
Oct 15, 2026
Last updated
Oct 15, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
251B00000X Case Management––Yes
261QM0850X Clinic/Center, Adult Mental Health––
261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder––

Practice location

5615 First Street, Nw
#2
Washington, DC 20011

Phone 202-991-1631

Mailing address

5615 1st St Nw Apt 2
Washington, DC 20011-2382

Phone 202-991-1631

Other practice locations

5615 First Street, Nw
#2
Washington, DC 20011

Authorized official

Virginia Cabrera
Executive Director
2029911631

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