Organization
SISTAS 4 LIFE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
UNITA CRUDUP (CEO)
(202) 425-6421
Entity
Organization
Contact information
Practice address
3416 B ST SE APT 303, WASHINGTON, DC 20019-7428
(202) 425-6421
Mailing address
3416 B ST SE APT 303, WASHINGTON, DC 20019-7428
(202) 425-6421
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
251S00000X
Community/Behavioral Health Agency
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
—
Other
Enumeration date
06/04/2026
Last updated
06/04/2026
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