Organization
EXECUTIVE ADDICTIVE DISEASE PROGRAMS
Active
Other names
EADP
Organization subpart
No
Provider details
NPI number
Authorized official
MS. AMANDA CARPENTER (OFFICE MANAGER/FINANCIAL COORDINATO)
(202) 362-2588
Entity
Organization
Contact information
Practice address
4335 WISCONSIN AVE NW, WASHINGTON, DC 20016-2148
(202) 362-2588
(202) 966-4214
Mailing address
4335 WISCONSIN AVE NW, WASHINGTON, DC 20016-2148
(202) 362-2588
(202) 966-4214
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
PRC13871
DC
101YA0400X
Addiction (Substance Use Disorder) Counselor
PRC948
DC
Other
Enumeration date
11/04/2009
Last updated
11/04/2009
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