Organization
MT&G ENTERPRISE, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NATAKA GAIL WILSON (CEO/OWNER)
(202) 257-9830
Entity
Organization
Contact information
Practice address
201 20TH ST NE, WASHINGTON, DC 20002-6721
(202) 257-9830
(301) 283-0986
Mailing address
201 20TH ST NE APT 2, WASHINGTON, DC 20002-6721
(202) 257-9830
(301) 283-0986
Taxonomy
Speciality
Code
Description
License number
State
261QD1600X
Developmental Disabilities Clinic/Center
Primary
—
—
3104A0625X
Assisted Living Facility (Mental Illness)
—
DC
Other
Enumeration date
06/28/2008
Last updated
07/08/2020
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