Organization
ST JOHN'S COMMUNITY SERVICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ARTHUR GINSBERG (STATE DIRECTOR)
(202) 237-6500
Entity
Organization
Contact information
Practice address
2201 WISCONSIN AVE NW, SUITE 120, WASHINGTON, DC 20007-4105
(202) 237-6500
(202) 237-6352
Mailing address
2201 WISCONSIN AVE NW, SUITE 120, WASHINGTON, DC 20007-4129
(202) 237-6500
(202) 237-6352
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
HFD12-0070
DC
Other
Enumeration date
04/19/2010
Last updated
04/19/2010
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