Organization
TIME FOR CHANGE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TONYA RIDLEY LPC CRC (CEO)
(202) 768-8454
Entity
Organization
Contact information
Practice address
1651 TULIP AVE, DISTRICT HEIGHTS, MD 20747-2622
(202) 403-9206
Mailing address
1929 VALLEY TER SE, WASHINGTON, DC 20032-4627
(202) 768-8454
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
PRC14577
DC
Other
Enumeration date
07/01/2016
Last updated
07/01/2016
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