# DEPARTMENT OF YOUTH REHABILITATION SERVICES

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1063643880
- **Authorized official:** DR. ANDREA WEISMAN PH.D. (CHIEF OF HEALTH SERVICES)
- **Authorized official phone:** (202) 576-8139

## Contact information

- **Practice address:** 1000 MOUNT OLIVET RD NE, WASHINGTON, DC 20002-2210
- **Practice address phone:** (202) 576-8405
- **Practice address fax:** (202) 576-8457
- **Mailing address:** 1000 MOUNT OLIVET RD NE, WASHINGTON, DC 20002-2210
- **Mailing address phone:** (202) 576-8405
- **Mailing address fax:** (202) 576-8457

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QP2400X | Prison Health Clinic/Center | 261QP2400X | DC | Yes |

## Other

- **Enumeration date:** 07/28/2009
- **Last updated:** 07/28/2009