Provider Demographics
NPI:1366641201
Name:HEADSTART TO LIFE, INC.
Entity Type:Organization
Organization Name:HEADSTART TO LIFE, INC.
Other - Org Name:HSTL
Other - Org Type:Other Name
Authorized Official - Title/Position:PRESIDENT/CEO
Authorized Official - Prefix:
Authorized Official - First Name:JEFFREY
Authorized Official - Middle Name:D
Authorized Official - Last Name:MITCHELL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:202-661-3538
Mailing Address - Street 1:1200 G ST NW
Mailing Address - Street 2:SUITE 800
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20005-3814
Mailing Address - Country:US
Mailing Address - Phone:202-661-3538
Mailing Address - Fax:202-434-8707
Practice Address - Street 1:1200 G ST NW
Practice Address - Street 2:SUITE 800
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20005-3814
Practice Address - Country:US
Practice Address - Phone:202-661-3538
Practice Address - Fax:202-434-8707
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-07-11
Last Update Date:2007-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DC83036XXXX-67003256251C00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services