Provider Demographics
NPI:1558531608
Name:DC CHILD AND FAMILY SERVICE AGENCY
Entity Type:Organization
Organization Name:DC CHILD AND FAMILY SERVICE AGENCY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:AGENCY FISCAL OFFICER
Authorized Official - Prefix:MR
Authorized Official - First Name:JUSTIN
Authorized Official - Middle Name:
Authorized Official - Last Name:KOPCA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:202-727-7676
Mailing Address - Street 1:400 6TH ST SW
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20024-2753
Mailing Address - Country:US
Mailing Address - Phone:202-727-7676
Mailing Address - Fax:202-727-6033
Practice Address - Street 1:400 6TH ST SW
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20024-2753
Practice Address - Country:US
Practice Address - Phone:202-727-7676
Practice Address - Fax:202-727-6033
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-03-05
Last Update Date:2008-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251K00000XAgenciesPublic Health or Welfare
Provider Identifiers
StateIdentifier IDID TypeIssuer
DC026642800Medicaid
DC034285100Medicaid