Organization
GINA OUTREACH, INC
Active
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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