Organization
TRESOR HEALTHCARE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JUDICAEL KOANANG (PROGRAM MANAGER)
(301) 825-3098
Entity
Organization
Contact information
Practice address
2300 WILSON BLVD STE 700, ARLINGTON, VA 22201-5435
(301) 825-3098
Mailing address
1624 U ST SE, WASHINGTON, DC 20020-4831
(301) 825-3098
Taxonomy
Speciality
Code
Description
License number
State
103TM1800X
Intellectual & Developmental Disabilities Psychologist
—
—
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
12/27/2023
Last updated
12/27/2023
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