Organization
SURPASSING THE AVERAGE REHABILITATION SERVICES (STARS)
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KEON COLEMAN (EXECUTIVE DIRECTOR)
(202) 817-4045
Entity
Organization
Contact information
Practice address
914 47TH ST NE, WASHINGTON, DC 20019-3722
(202) 817-4045
Mailing address
914 47TH ST NE, WASHINGTON, DC 20019-3722
(202) 817-4045
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
—
—
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
385H00000X
Respite Care
—
—
Other
Enumeration date
02/22/2017
Last updated
02/22/2017
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