| Moksha Living Llc | |
|
1050 17th St Nw Suite 1000 Washington DC 20036-5503 | |
| (202) 508-3796 | |
| (202) 758-2742 |
| Full Name | Moksha Living Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 1050 17th St Nw, Washington, District Of Columbia |
| Authorized Official Name and Position | Ed Wilson (BILLING MANAGER) |
| Authorized Official Contact | 9563698628 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Moksha Living Llc 1050 17th St Nw Suite 1000 Washington DC 20036-5503 Ph: (202) 508-3796 | Moksha Living Llc 1050 17th St Nw Suite 1000 Washington DC 20036-5503 Ph: (202) 508-3796 |
| NPI Number | 1538477583 |
|---|---|
| Provider Enumeration Date | 09/23/2010 |
| Last Update Date | 09/23/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538477583 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | LCS50078247 (District Of Columbia) | Primary |
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