Organization
CORE DC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JACK ALFRED BROWN III CEO (CHAIRMAN & CEO)
(718) 791-3460
Entity
Organization
Contact information
Practice address
1400 CLIFTON ST NW, WASHINGTON, DC 20009-4505
(202) 830-2003
(202) 735-0975
Mailing address
1020 BLADENSBURG RD NE, WASHINGTON, DC 20002-2923
(718) 791-3460
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
—
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
02/23/2022
Last updated
07/26/2022
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