Organization
LT. JOSEPH P. KENNEDY INSTITUTE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN ENZLER (CEO)
(202) 772-4300
Entity
Organization
Contact information
Practice address
801 BUCHANAN ST NE, WASHINGTON, DC 20017
(202) 281-2700
Mailing address
801 BUCHANAN ST NE, WASHINGTON, DC 20017-3924
(202) 281-2700
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
—
DC
261QD1600X
Developmental Disabilities Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
030043900
—
DC
05
—
030045500
—
DC
05
—
030049600
—
DC
05
—
034124700
—
DC
05
—
035602100
—
DC
05
—
035681600
—
DC
05
—
874560900
—
MD
Enumeration date
03/09/2007
Last updated
07/25/2018
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