Provider Demographics
NPI:1356848311
Name:ONE COMMON UNITY, INC.
Entity Type:Organization
Organization Name:ONE COMMON UNITY, INC.
Other - Org Name:ONE COMMON UNITY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:RAJEEV
Authorized Official - Middle Name:HAWAH
Authorized Official - Last Name:KASAT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:202-765-3757
Mailing Address - Street 1:2437 15TH ST NW
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20009-4101
Mailing Address - Country:US
Mailing Address - Phone:202-765-3757
Mailing Address - Fax:
Practice Address - Street 1:2437 15TH ST NW
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20009-4101
Practice Address - Country:US
Practice Address - Phone:202-765-3757
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-04-06
Last Update Date:2018-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
No261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)
No261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health
No261QM0855XAmbulatory Health Care FacilitiesClinic/CenterAdolescent and Children Mental Health