Provider Demographics
NPI:1396920377
Name:CENTER FOR STUDENT SUPPORT SERVICES
Entity type:Organization
Organization Name:CENTER FOR STUDENT SUPPORT SERVICES
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:MANAGER OF ADMINISTRATIVE OPERATION
Authorized Official - Prefix:MRS
Authorized Official - First Name:CAROL
Authorized Official - Middle Name:LOUISE
Authorized Official - Last Name:VEST
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:202-628-8848
Mailing Address - Street 1:1003 K ST NW STE 405
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20001-4424
Mailing Address - Country:US
Mailing Address - Phone:202-628-8848
Mailing Address - Fax:
Practice Address - Street 1:1003 K ST NW STE 405
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20001-4424
Practice Address - Country:US
Practice Address - Phone:202-628-8848
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-01-08
Last Update Date:2008-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0855XAmbulatory Health Care FacilitiesClinic/CenterAdolescent and Children Mental Health