Organization
PREVENTIVES MEASURES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMENNA SCOTT (CARE COORDINATOR/CASE MANAGER)
(202) 271-4506
Entity
Organization
Contact information
Practice address
2124 MARTIN LUTHER KING JR AVE SE, WASHINGTON, DC 20020-5732
(202) 563-7632
Mailing address
2124 MARTIN LUTHER KING JR AVE SE, WASHINGTON, DC 20020-5732
(202) 563-7632
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
08/14/2024
Last updated
08/14/2024
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