Provider Demographics
NPI:1508512252
Name:FRIENDSHIP PLACE
Entity Type:Organization
Organization Name:FRIENDSHIP PLACE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VP ADMINISTRATION/CFO
Authorized Official - Prefix:MS
Authorized Official - First Name:CORNELIA
Authorized Official - Middle Name:MICHELE
Authorized Official - Last Name:KENT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:202-209-8343
Mailing Address - Street 1:4713 WISCONSIN AVE NW
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20016-4609
Mailing Address - Country:US
Mailing Address - Phone:202-209-8343
Mailing Address - Fax:
Practice Address - Street 1:4713 WISCONSIN AVE NW
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20016-4609
Practice Address - Country:US
Practice Address - Phone:202-209-8343
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-02-22
Last Update Date:2022-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management