Provider Demographics
NPI:1598019283
Name:QUALITY TRUST FOR INDIVIDUALS WITH DISABILITIES
Entity Type:Organization
Organization Name:QUALITY TRUST FOR INDIVIDUALS WITH DISABILITIES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF EXECUTIVE OFFICER
Authorized Official - Prefix:MRS
Authorized Official - First Name:TINA
Authorized Official - Middle Name:M
Authorized Official - Last Name:CAMPANELLA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:202-448-1442
Mailing Address - Street 1:5335 WISCONSIN AVE NW
Mailing Address - Street 2:SUITE 825
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20015-2030
Mailing Address - Country:US
Mailing Address - Phone:202-448-1450
Mailing Address - Fax:202-448-1451
Practice Address - Street 1:5335 WISCONSIN AVE NW
Practice Address - Street 2:SUITE 825
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20015-2030
Practice Address - Country:US
Practice Address - Phone:202-448-1450
Practice Address - Fax:202-448-1451
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-11-01
Last Update Date:2012-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management