Provider Demographics
NPI:1346469442
Name:PSYCHOTHERAPUETIC OUTREACH SERVICES INC
Entity Type:Organization
Organization Name:PSYCHOTHERAPUETIC OUTREACH SERVICES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF DC PROGRAMS
Authorized Official - Prefix:MRS
Authorized Official - First Name:AMY
Authorized Official - Middle Name:MELISSA
Authorized Official - Last Name:FOEHRKOLB
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:202-588-9540
Mailing Address - Street 1:101 Q ST NE
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20002-2166
Mailing Address - Country:US
Mailing Address - Phone:202-588-9540
Mailing Address - Fax:202-349-4369
Practice Address - Street 1:101 Q ST NE
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20002-2166
Practice Address - Country:US
Practice Address - Phone:202-588-9540
Practice Address - Fax:202-349-4369
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-25
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health