Organization
EXTENDED HOUSE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANITA D MORTON (BUSINESS MANAGER)
(202) 636-4041
Entity
Organization
Contact information
Practice address
810 14TH ST NE, WASHINGTON, DC 20002-5004
(202) 396-2272
Mailing address
1017 BRENTWOOD RD NE, WASHINGTON, DC 20018-1039
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
03/01/2007
Last updated
08/22/2020
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