Organization
ECKINGTON HOUSE MENTAL HEALTH SERVICE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOYCE STEPHENS JURIS DOCTORATE (CEO)
(202) 870-0701
Entity
Organization
Contact information
Practice address
3030 30TH ST SE, WASHINGTON, DC 20020-1674
(202) 870-0701
(202) 506-3522
Mailing address
217 T ST NE, WASHINGTON, DC 20002-1530
(202) 870-0701
(202) 506-3522
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
—
—
3104A0625X
Assisted Living Facility (Mental Illness)
—
—
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
040837200
—
DC
Enumeration date
06/27/2017
Last updated
08/21/2017
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