Organization
INNERCITY COLLABORATIVE COMMUNITY DEVELOPMENT CORPORATION
Active
Other names
Homes With A real Heart, Miracle Temple Non Denominational Church Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
REV JUDIE SHEPHERD-GORE JD, MBA (EXECUTIVE DIRECTOR)
(240) 304-6822
Entity
Organization
Contact information
Practice address
5219 CALL PL SE, WASHINGTON, DC 20019-6321
(240) 304-6822
(301) 336-5164
Mailing address
5219 CALL PL SE, WASHINGTON, DC 20019-6321
(240) 304-6822
(301) 336-5164
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
1041C0700X
Clinical Social Worker
—
—
251B00000X
Case Management Agency
—
—
251S00000X
Community/Behavioral Health Agency
—
—
Other
Enumeration date
01/22/2024
Last updated
01/22/2024
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us