Organization
GENERATIONAL HEALTH COMMUNITY CLINIC
Active
Parent organization
WICKIDS YOUTH MENTORING AND COMMUNITY ADVOCACY
Other names
Generational Health Clinic Community Emergency Response Team
Organization subpart
Yes
Provider details
NPI number
Legal business name
WICKIDS YOUTH MENTORING AND COMMUNITY ADVOCACY
Authorized official
MS. KIMBERLY M BURRIS WCA (WOUND CARE ASSOCIATE)
(202) 486-1152
Entity
Organization
Contact information
Practice address
617 RHODE ISLAND AVE NE STE D, WASHINGTON, DC 20002-1299
(202) 486-1152
Mailing address
617 RHODE ISLAND AVE NE STE D, WASHINGTON, DC 20002-1299
(202) 486-1152
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
261QC1500X
Community Health Clinic/Center
—
—
Other
Enumeration date
09/07/2022
Last updated
09/07/2022
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