Provider Demographics
NPI:1811203466
Name:DC START
Entity Type:Organization
Organization Name:DC START
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DC START COORDINATOR
Authorized Official - Prefix:MS
Authorized Official - First Name:DEBRA
Authorized Official - Middle Name:KAY
Authorized Official - Last Name:RAGER
Authorized Official - Suffix:
Authorized Official - Credentials:LICSW
Authorized Official - Phone:202-727-6054
Mailing Address - Street 1:1200 FIRST ST NE
Mailing Address - Street 2:8TH FLOOR
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20002-3361
Mailing Address - Country:US
Mailing Address - Phone:202-727-6054
Mailing Address - Fax:
Practice Address - Street 1:1200 FIRST ST NE
Practice Address - Street 2:8TH FLOOR
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20002-3361
Practice Address - Country:US
Practice Address - Phone:202-727-6054
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-08-20
Last Update Date:2010-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCLC50078168251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health