Organization
CAPITOL HILL SUPPORTIVE SERVICES PROGRAM INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TONYA COPPIN MS.ED;MS.SP,ED (EXECUTIVE DIRECTOR)
(202) 543-4212
Entity
Organization
Contact information
Practice address
2052 W VIRGINIA AVE NE, WASHINGTON, DC 20002-1832
(202) 543-4212
(202) 543-0059
Mailing address
2052 W VIRGINIA AVE NE, WASHINGTON, DC 20002-1832
(202) 543-4212
(202) 543-0059
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
025928400
DC
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
025928400
DC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
025928400
—
DC
Enumeration date
12/16/2013
Last updated
12/16/2013
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