Organization
ECKINGTON HOUSE MENTAL HEALTH SERVICE LLC
Active
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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