# CENTER FOR YOUTH EXCELLENCE

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

## Provider details

- **NPI number:** 1285985069
- **Authorized official:** MR. KOFI OTHIENA GRAHAM (OPERATIONAL DIRECTOR)
- **Authorized official phone:** (202) 412-4754

## Contact information

- **Practice address:** 1409 KEARNY ST NE, WASHINGTON, DC 20017-2957
- **Practice address phone:** (202) 412-4754
- **Practice address fax:** (202) 315-3746
- **Mailing address:** 1409 KEARNY ST NE, WASHINGTON, DC 20017-2957
- **Mailing address phone:** (202) 412-4754
- **Mailing address fax:** (202) 315-3746

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 322D00000X | Emotionally Disturbed Childrens' Residential Treatment Facility | — | NULL | Yes |

## Other

- **Enumeration date:** 09/20/2012
- **Last updated:** 09/20/2012