Organization
ST. JOHN'S COMMUNITY SERVICES-DC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TOM WILDS (CEO)
(202) 274-3400
Entity
Organization
Contact information
Practice address
2201 WISCONSIN AVE NW, SUITE C-150, WASHINGTON, DC 20007-4105
(202) 237-6500
Mailing address
2201 WISCONSIN AVE NW, SUITE C-150, WASHINGTON, DC 20007-4105
(202) 237-6500
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
HFD12-0070
DC
Other
Enumeration date
05/02/2007
Last updated
08/22/2020
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