Provider Demographics
NPI:1235597527
Name:D.C. DEPARTMENT OF BEHAVIORAL HEALTH
Entity Type:Organization
Organization Name:D.C. DEPARTMENT OF BEHAVIORAL HEALTH
Other - Org Name:ADDICTION PREVENTION, RECOVERY AND TREATMENT SERVICES
Other - Org Type:Other Name
Authorized Official - Title/Position:INTERIM DEPUTY DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:MARQUITTA
Authorized Official - Middle Name:L
Authorized Official - Last Name:DUVERNAY
Authorized Official - Suffix:
Authorized Official - Credentials:DHA, LCPC
Authorized Official - Phone:202-727-8941
Mailing Address - Street 1:64 NEW YORK AVE NE
Mailing Address - Street 2:3RD FLOOR
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20002-3320
Mailing Address - Country:US
Mailing Address - Phone:202-727-8857
Mailing Address - Fax:202-727-0092
Practice Address - Street 1:64 NEW YORK AVE NE
Practice Address - Street 2:1ST FLOOR - P STREET ENTRANCE
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20002-3320
Practice Address - Country:US
Practice Address - Phone:202-727-8857
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-02-02
Last Update Date:2016-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center