Provider Demographics
NPI:1013484104
Name:ANILAINE COMMUNITY OF HEALING
Entity Type:Organization
Organization Name:ANILAINE COMMUNITY OF HEALING
Other - Org Name:ANILAINE COMMUNITY OF HEALING
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MISS
Authorized Official - First Name:ANEITA
Authorized Official - Middle Name:
Authorized Official - Last Name:WILLIAMS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:202-354-2923
Mailing Address - Street 1:7111 ALLENTOWN RD STE 102
Mailing Address - Street 2:
Mailing Address - City:FT WASHINGTON
Mailing Address - State:MD
Mailing Address - Zip Code:20744-1539
Mailing Address - Country:US
Mailing Address - Phone:202-354-2923
Mailing Address - Fax:
Practice Address - Street 1:7111 ALLENTOWN RD STE 102
Practice Address - Street 2:
Practice Address - City:FORT WASHINGTON
Practice Address - State:MD
Practice Address - Zip Code:20744-1539
Practice Address - Country:US
Practice Address - Phone:202-354-2923
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-10-27
Last Update Date:2020-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health