Provider Demographics
NPI:1942729694
Name:HUMAN DEVELOPMENT COALITION
Entity Type:Organization
Organization Name:HUMAN DEVELOPMENT COALITION
Other - Org Name:ENDEAVOR SOLUTIONS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:SILVIA
Authorized Official - Middle Name:
Authorized Official - Last Name:RIVAS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:240-893-5296
Mailing Address - Street 1:2141 EDGEWARE ST
Mailing Address - Street 2:
Mailing Address - City:SILVER SPRING
Mailing Address - State:MD
Mailing Address - Zip Code:20905-4216
Mailing Address - Country:US
Mailing Address - Phone:240-893-5296
Mailing Address - Fax:
Practice Address - Street 1:313 PARKLAND PL SE
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20032-1601
Practice Address - Country:US
Practice Address - Phone:443-995-3080
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-09-13
Last Update Date:2017-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320900000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities