Organization
CENTER FOR YOUTH EXCELLENCE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KOFI OTHIENA GRAHAM (OPERATIONAL DIRECTOR)
(202) 412-4754
Entity
Organization
Contact information
Practice address
1409 KEARNY ST NE, WASHINGTON, DC 20017-2957
(202) 412-4754
(202) 315-3746
Mailing address
1409 KEARNY ST NE, WASHINGTON, DC 20017-2957
(202) 412-4754
(202) 315-3746
Taxonomy
Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
—
—
Other
Enumeration date
09/20/2012
Last updated
09/20/2012
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