Organization
PHASE LL ACADEMY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SHERRY DEAN FENNER (DIRECTOR)
(202) 262-1811
Entity
Organization
Contact information
Practice address
4702 14TH ST NW, WASHINGTON, DC 20011-4315
(202) 545-0311
(202) 204-5807
Mailing address
PO BOX 1222, COLUMBIA, MD 21044-0222
(202) 262-1811
(202) 204-5807
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
400313901068
DC
Other
Enumeration date
03/13/2015
Last updated
03/13/2015
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