# PEDIATRIC AIDS HIV CARE

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- **Entity:** Organization
- **Status:** Active
- **Other names:** The Wright House
- **Organization subpart:** No

## Provider details

- **NPI number:** 1104095991
- **Authorized official:** MRS. KHADIJAH A TRIBBLE (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (202) 347-5366

## Contact information

- **Practice address:** 450 M ST NW, WASHINGTON, DC 20001-4606
- **Practice address phone:** (202) 347-5366
- **Practice address fax:** (202) 628-3021
- **Mailing address:** 450 M ST NW, WASHINGTON, DC 20001-4606
- **Mailing address phone:** (202) 347-5366
- **Mailing address fax:** (202) 628-3021

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YM0800X | Mental Health Counselor | — | NULL | Yes |
| 101YM0800X | Mental Health Counselor | — | — | Yes |
| 102X00000X | Poetry Therapist | — | NULL | — |
| 102X00000X | Poetry Therapist | — | — | — |
| 171M00000X | Case Manager/Care Coordinator | — | NULL | — |
| 171M00000X | Case Manager/Care Coordinator | — | — | — |
| 251B00000X | Case Management Agency | — | NULL | — |
| 251S00000X | Community/Behavioral Health Agency | — | NULL | — |
| 343900000X | Non-emergency Medical Transport (VAN) | — | NULL | — |

## Other

- **Enumeration date:** 02/26/2008
- **Last updated:** 02/26/2008