# SCRUPLES CORPORATION

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

## Provider details

- **NPI number:** 1336431006
- **Authorized official:** MS. JOSEPHINE STATON LPC (CLINICAL MANAGER)
- **Authorized official phone:** (202) 581-2455

## Contact information

- **Practice address:** 2811 PENN AVE SE, WASHINGTON, DC 20020-3865
- **Practice address phone:** (202) 581-2455
- **Practice address fax:** (202) 581-2459
- **Mailing address:** 2811 PENN AVE SE, WASHINGTON, DC 20020-3865
- **Mailing address phone:** (202) 581-2455
- **Mailing address fax:** (202) 581-2459

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM0855X | Adolescent and Children Mental Health Clinic/Center | PRC 236 | DC | Yes |
| 261QM0855X | Adolescent and Children Mental Health Clinic/Center | PRC 236 | DC | — |

## Other

- **Enumeration date:** 05/12/2011
- **Last updated:** 05/12/2011