Organization
CONNECTING WITH COMMUNITIES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. BUFFIE FINLEY (CLINICAL DIRECTOR)
(757) 235-1030
Entity
Organization
Contact information
Practice address
2636 WADE RD SE APT 11, WASHINGTON, DC 20020-5906
(757) 235-1030
Mailing address
6308 SANTO PL, CAPITOL HEIGHTS, MD 20743-3258
(757) 235-1030
Taxonomy
Speciality
Code
Description
License number
State
261QD1600X
Developmental Disabilities Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1340992
NATIONAL ACADEMY OF SPORTS MEDICINE
DC
Enumeration date
06/20/2019
Last updated
06/20/2019
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