NPI 1588005698

Coastal Healthcare

Organisation Early Intervention Provider Agency Washington, DC

Practice location

Address: 3801 Connecticut Ave NW Suite 100, Washington, DC 20008-4530
Phone: (202) 525-1542

Authorised official

Name: Quiana Mitchem
Title: Director of Therapy
Phone: (202) 525-1542

Registered specialties

Early Intervention Provider Agency Primary

Agencies Taxonomy 252Y00000X Licence SLP000685 (DC)

Other Early Intervention Provider Agency providers in District of Columbia →

Registry record

NPI: 1588005698
Entity type: Organization
NPI issued: 17 Jul 2013
Record last updated: 17 Jul 2013

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.