Organization
GINA OUTREACH, INC
Active
Other names
RESIDENTIAL HABILITATION
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. REGINA BEBNJI NDONGBOH (PRESIDENT CEO)
(240) 463-2324
Entity
Organization
Contact information
Practice address
5032 10TH ST NE, WASHINGTON, DC 20017-2844
(240) 463-2324
(202) 747-3877
Mailing address
5032 10TH ST NE, WASHINGTON, DC 20017-2844
(240) 463-2324
(202) 747-3877
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
EIN800
DC
Other
Enumeration date
04/21/2014
Last updated
04/21/2014
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