Organization
DEPARTMENT OF YOUTH REHABILITATION SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANDREA WEISMAN PH.D. (CHIEF OF HEALTH SERVICES)
(202) 576-8139
Entity
Organization
Contact information
Practice address
1000 MOUNT OLIVET RD NE, WASHINGTON, DC 20002-2210
(202) 576-8405
(202) 576-8457
Mailing address
1000 MOUNT OLIVET RD NE, WASHINGTON, DC 20002-2210
(202) 576-8405
(202) 576-8457
Taxonomy
Speciality
Code
Description
License number
State
261QP2400X
Prison Health Clinic/Center
Primary
261QP2400X
DC
Other
Enumeration date
07/28/2009
Last updated
07/28/2009
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