CRISIS MANAGEMENT INTROSPECT


Address: 2314 Minnesota Ave Se, Washington, Dc, Washington, DC 20020-5326
Phone: 2025810778

CRISIS MANAGEMENT INTROSPECT (NPI# 1396935086) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1396935086
Entity Type Organization
Organization Name CRISIS MANAGEMENT INTROSPECT
Other Organization Name NONE
Practice Address 2314 Minnesota Ave Se
Washington, Dc
Washington
DC 20020-5326
Practice Telephone 2025810778
Practice Fax Number 2025810778
Mailing Telephone 2025810778
Mailing Fax Number 2025810778
Enumeration Date 2007-07-28
Last Update Date 2008-10-02
Authorized Official Name DR. CAROLYN ELAINE GRAVELY-MOSS,PH.D. (DIRECTOR)
Authorized Official Telephone 2025810778
Authorized Official Credential PH.D
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QM0801X Clinic/Center
Specialization: Mental Health (Including Community Mental Health Center)
LPC-0164 DC Ambulatory Health Care Facilities

Other Provider/Organization Names

Other Name Type Code
none Doing Business As Name - Organization

Office Location

Street Address 2314 MINNESOTA AVE SE
WASHINGTON, DC
City WASHINGTON
State DC
Zip Code 20020-5326

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Taxonomy Information

Taxonomy Code 261QM0801X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Mental Health (Including Community Mental Health Center)

Taxonomy Definition

Definition to come...

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Competitor

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City WASHINGTON
Zip Code 20020

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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