Organization
YELLOW DOORS 2119
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HELENE MOUDIO (CEO)
(202) 320-2556
Entity
Organization
Contact information
Practice address
1842 PROVIDENCE ST NE APT 1, WASHINGTON, DC 20002-1770
(202) 320-2556
Mailing address
3904 NOYES CIR APT 103, RANDALLSTOWN, MD 21133-2746
(202) 320-2556
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
385HR2050X
Respite Care Camp
—
—
Other
Enumeration date
03/03/2025
Last updated
03/03/2025
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