Provider Demographics
NPI:1457736555
Name:FAMILY MATTERS OF GREATER WASHINGTON
Entity Type:Organization
Organization Name:FAMILY MATTERS OF GREATER WASHINGTON
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF EXECUTIVE OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:TONYA
Authorized Official - Middle Name:
Authorized Official - Last Name:JACKSON-SMALLWOOD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:202-289-1510
Mailing Address - Street 1:1509 16TH ST NW
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20036-1461
Mailing Address - Country:US
Mailing Address - Phone:202-289-1510
Mailing Address - Fax:202-518-8924
Practice Address - Street 1:6196 OXON HILL RD
Practice Address - Street 2:SUITE 340
Practice Address - City:OXON HILL
Practice Address - State:MD
Practice Address - Zip Code:20745-3100
Practice Address - Country:US
Practice Address - Phone:301-839-1960
Practice Address - Fax:301-839-1961
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-07-30
Last Update Date:2015-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health