Organization
PEDIATRIC AIDS HIV CARE
Active
Other names
The Wright House
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KHADIJAH A TRIBBLE (EXECUTIVE DIRECTOR)
(202) 347-5366
Entity
Organization
Contact information
Practice address
450 M ST NW, WASHINGTON, DC 20001-4606
(202) 347-5366
(202) 628-3021
Mailing address
450 M ST NW, WASHINGTON, DC 20001-4606
(202) 347-5366
(202) 628-3021
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
102X00000X
Poetry Therapist
—
—
171M00000X
Case Manager/Care Coordinator
—
—
251B00000X
Case Management Agency
—
—
251S00000X
Community/Behavioral Health Agency
—
—
343900000X
Non-emergency Medical Transport (VAN)
—
—
Other
Enumeration date
02/26/2008
Last updated
02/26/2008
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