Organization · NPI-2

Act-4

Case Management · Washington, DC

NPI number1316070535
StatusActive
Last updated in NPPESJun 16, 2008

Details

NPI
1316070535
Entity type
Organization (NPI-2)
Legal business name
Act-4
Organization subpart
No
Enumeration date
Mar 14, 2007
Last updated
Jun 16, 2008

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
251B00000X Case Management2025579DCYes

Practice location

3849 Alabama Ave Se
Washington, DC 20020-1001

Phone 202-645-7272 · Fax 202-645-7270

Mailing address

1819 Burke St Se
Washington, DC 20003-2512

Phone 202-543-7747

Authorized official

Darin Street
Mental Health Specialist
2026457277

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