Organization
DEPARTMENT OF HEALTH
Active
Parent organization
DISTRICT OF COLUMBIA
Other names
Access and Referral Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
DISTRICT OF COLUMBIA
Authorized official
JAVON OLIVER LCPC, LPC (DIRECTOR OF TREATMENT)
(202) 727-8940
Entity
Organization
Contact information
Practice address
70 N ST NE, WASHINGTON, DC 20002-3324
(202) 727-8473
Mailing address
1300 1ST ST NE, WASHINGTON, DC 20002-3335
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
PRC14310
DC
251S00000X
Community/Behavioral Health Agency
Primary
PRC14310
DC
Other
Enumeration date
08/15/2012
Last updated
08/15/2012
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