Provider Demographics
NPI:1679045249
Name:COGENT HEALTHCARE SERVICES INC
Entity Type:Organization
Organization Name:COGENT HEALTHCARE SERVICES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/CEO
Authorized Official - Prefix:
Authorized Official - First Name:ADELAIDE
Authorized Official - Middle Name:
Authorized Official - Last Name:ETSE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:202-486-1894
Mailing Address - Street 1:1900 L ST NW STE 609
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20036-5024
Mailing Address - Country:US
Mailing Address - Phone:202-486-1894
Mailing Address - Fax:240-428-6009
Practice Address - Street 1:1900 L ST NW STE 609
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20036-5024
Practice Address - Country:US
Practice Address - Phone:202-735-0062
Practice Address - Fax:240-428-6009
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-12-20
Last Update Date:2018-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health