Organization
DC YOUTH EMPOWERMENT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GARY H JOHNSON JR. (PRESIDENT)
(202) 813-9452
Entity
Organization
Contact information
Practice address
50 HAWAII AVE NE APT 111, WASHINGTON, DC 20011-4922
(202) 813-9452
Mailing address
50 HAWAII AVE NE APT 111, WASHINGTON, DC 20011-4922
(202) 813-9452
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
DC
261QD1600X
Developmental Disabilities Clinic/Center
—
—
Other
Enumeration date
07/03/2018
Last updated
03/21/2022
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