Organization
THE DORM LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KINGA STAMPFL (ASSISTANT DIRECTOR)
(917) 618-0450
Entity
Organization
Contact information
Practice address
1814 N ST NW, WASHINGTON, DC 20036-2404
(877) 909-3676
Mailing address
1818 N ST NW, WASHINGTON, DC 20036-2406
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
09/17/2020
Last updated
05/29/2024
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