Organization
LATIN AMERICAN YOUTH CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LORI KAPLAN (CEO)
(202) 319-8642
Entity
Organization
Contact information
Practice address
1419 COLUMBIA RD NW, WASHINGTON, DC 20009-4705
(202) 319-2225
(202) 462-5696
Mailing address
1419 COLUMBIA RD NW, WASHINGTON, DC 20009-4705
(202) 319-2225
(202) 462-5696
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
036392800
DC
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
102600A-Y-027
DC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036392800
—
DC
05
—
043722400
—
DC
Enumeration date
02/08/2007
Last updated
12/04/2012
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