Organization
INSTITUTE FOR LIFE ENRICHMENT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAMES EDWARD SAVAGE JR. PH.D. (PRESIDENT)
(202) 291-2008
Entity
Organization
Contact information
Practice address
6201 GREENBELT ROAD, M7, COLLEGE PARK, MD 20740-0000
(301) 474-3750
Mailing address
7852 16TH STREET NW, WASHINGTON, DC 20012-0000
(202) 291-5008
(202) 291-2080
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
—
—
103TC0700X
Clinical Psychologist
Primary
—
—
302F00000X
Exclusive Provider Organization
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
773211201
—
MD
Enumeration date
03/05/2010
Last updated
02/20/2020
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