| Innovative Day, Llc | |
|
6135 Kansas Ave Ne Washington DC 20011-1505 | |
| (202) 269-3853 | |
| (202) 269-3854 |
| Full Name | Innovative Day, Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 6135 Kansas Ave Ne, Washington, District Of Columbia |
| Authorized Official Name and Position | Bonita F. Bullock (BUSINESS MANAGER) |
| Authorized Official Contact | 3012704750 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Innovative Day, Llc 8484 Georgia Ave Ste 900 Silver Spring MD 20910-5604 Ph: (301) 270-4750 | Innovative Day, Llc 6135 Kansas Ave Ne Washington DC 20011-1505 Ph: (202) 269-3853 |
| NPI Number | 1760986210 |
|---|---|
| Provider Enumeration Date | 03/20/2018 |
| Last Update Date | 01/10/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760986210 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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