Provider Demographics
NPI:1093159816
Name:ANDROMEDA INC
Entity Type:Organization
Organization Name:ANDROMEDA INC
Other - Org Name:ANDROMEDA TRANSCULTURAL HEALTH
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:RICARDO
Authorized Official - Middle Name:
Authorized Official - Last Name:GALBIS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:202-291-4707
Mailing Address - Street 1:18108 NORTHERN DANCER LN
Mailing Address - Street 2:
Mailing Address - City:BOYDS
Mailing Address - State:MD
Mailing Address - Zip Code:20841-6107
Mailing Address - Country:US
Mailing Address - Phone:202-291-4707
Mailing Address - Fax:202-723-4560
Practice Address - Street 1:1400 DECATUR ST NW
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20011-4343
Practice Address - Country:US
Practice Address - Phone:202-291-4707
Practice Address - Fax:202-723-4560
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-04-23
Last Update Date:2013-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DC1188101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Multi-Specialty