Organization
SERENITY WORKFORCE DEVELOPMENT INSTITUTE
Active
Other names
Serenity Workforce Development Institute
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROOSEVELT COHENS LCSW,LICSW,LPC (CEO)
(202) 373-2853
Entity
Organization
Contact information
Practice address
1629 K ST NW, WASHINGTON, DC 20006-1602
(202) 373-2853
(202) 506-3712
Mailing address
1718 5TH ST NW, WASHINGTON, DC 20001-1818
(202) 373-2853
(202) 506-3712
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
LC50080419
DC
305R00000X
Preferred Provider Organization
LC50080419
DC
Other
Enumeration date
12/26/2015
Last updated
12/26/2015
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