Provider Demographics
NPI:1679018758
Name:CAPITOL DISCOVERY SERVICES, INC.
Entity Type:Organization
Organization Name:CAPITOL DISCOVERY SERVICES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF PROGRAMS
Authorized Official - Prefix:MRS
Authorized Official - First Name:ASSIATU
Authorized Official - Middle Name:A
Authorized Official - Last Name:BANGURA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:240-779-3911
Mailing Address - Street 1:8202 CLIMBING FERN CT
Mailing Address - Street 2:
Mailing Address - City:BOWIE
Mailing Address - State:MD
Mailing Address - Zip Code:20715-4571
Mailing Address - Country:US
Mailing Address - Phone:240-779-3911
Mailing Address - Fax:
Practice Address - Street 1:8202 CLIMBING FERN CT
Practice Address - Street 2:
Practice Address - City:BOWIE
Practice Address - State:MD
Practice Address - Zip Code:20715-4571
Practice Address - Country:US
Practice Address - Phone:240-779-3911
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-12-29
Last Update Date:2016-12-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DC251B00000X251B00000X
DC251C00000X251C00000X
DC215S00000X251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
No251B00000XAgenciesCase Management
No251C00000XAgenciesDay Training, Developmentally Disabled Services