Berkeley House INC.
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Washington, DC. Organization (NPI-2).
NPI number1982202271
StatusActive
Last updated in NPPESNov 13, 2020
Details
- NPI
- 1982202271
- Entity type
- Organization (NPI-2)
- Legal business name
- Berkeley House INC.
- Organization subpart
- No
- Enumeration date
- Oct 9, 2020
- Certification date
- Nov 13, 2020
- Last updated
- Nov 13, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 320900000X | Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities | – | – | Yes |
Practice location
817 Elder St NwWashington, DC 20012-2323
Phone 240-305-2723
Mailing address
817 Elder St NwWashington, DC 20012-2323
Phone 240-305-2723
Authorized official
Franklin Hekima Jackson
Owner
2403052723
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