Organization
GOSPEL RESCUE MINISTRIES OF WASHINGTON, DC, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL J CORTESE (EXECUTIVE DIRECTOR AND PRESIDENT)
(202) 842-1731
Entity
Organization
Contact information
Practice address
810 5TH ST NW, WASHINGTON, DC 20001-2622
(202) 842-1731
(202) 898-0285
Mailing address
810 5TH ST NW, WASHINGTON, DC 20001-2622
(202) 842-1731
(202) 898-0285
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
091709A-205
DC
324500000X
Substance Abuse Rehabilitation Facility
Primary
012201R-098
DC
324500000X
Substance Abuse Rehabilitation Facility
012301RW-116
DC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
039475700
—
DC
Enumeration date
01/21/2010
Last updated
02/24/2010
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