Provider Demographics
NPI:1821328279
Name:ALTERNATIVE SPLUTIONS FOR YOUTH
Entity Type:Organization
Organization Name:ALTERNATIVE SPLUTIONS FOR YOUTH
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OUT PATIENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:PAULETTE
Authorized Official - Middle Name:
Authorized Official - Last Name:SCOTT
Authorized Official - Suffix:
Authorized Official - Credentials:LICSW
Authorized Official - Phone:202-584-1244
Mailing Address - Street 1:1301 LENFANT SQ SE
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20020-6724
Mailing Address - Country:US
Mailing Address - Phone:202-584-1244
Mailing Address - Fax:202-584-1243
Practice Address - Street 1:5104 SALIMA ST
Practice Address - Street 2:
Practice Address - City:CLINTON
Practice Address - State:MD
Practice Address - Zip Code:20735-3659
Practice Address - Country:US
Practice Address - Phone:240-244-5399
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-01-07
Last Update Date:2010-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCPRC799302R00000X
322D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes322D00000XResidential Treatment FacilitiesResidential Treatment Facility, Emotionally Disturbed Children
No302R00000XManaged Care OrganizationsHealth Maintenance Organization
Provider Identifiers
StateIdentifier IDID TypeIssuer
DC522215831OtherALTERNATIVE SOLUTIONS FOR YOUTH