# OPTIMUM HEALTH FOUNDATION

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Optimum Health Group
- **Organization subpart:** No

## Provider details

- **NPI number:** 1457656340
- **Authorized official:** JONATHAN LONG (ED)
- **Authorized official phone:** (202) 455-2030

## Contact information

- **Practice address:** 1800 EVARTS ST NE, 1800 EVARTS STREET NE, WASHINGTON, DC 20018-1311
- **Practice address phone:** (202) 455-2030
- **Mailing address:** 1800 EVARTS ST NE, 1800 EVARTS STREET NE, WASHINGTON, DC 20018-1311

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 103T00000X | Psychologist | — | NULL | — |
| 103T00000X | Psychologist | — | — | — |
| 163W00000X | Registered Nurse | — | NULL | — |
| 163W00000X | Registered Nurse | — | — | — |
| 251B00000X | Case Management Agency | — | NULL | — |
| 251E00000X | Home Health Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 01/24/2011
- **Last updated:** 01/24/2011