| Therapeutic Transitions, Inc. | |
|
823 12th St Ne Washington DC 20002-4462 | |
| (202) 397-5042 | |
| (101) 397-1684 |
| Full Name | Therapeutic Transitions, Inc. |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 823 12th St Ne, Washington, District Of Columbia |
| Authorized Official Name and Position | Corlis Yvonne Randolph (ADMINISTRATOR) |
| Authorized Official Contact | 2023975042 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Therapeutic Transitions, Inc. 823 12th St Ne Washington DC 20002-4462 Ph: (202) 397-5042 | Therapeutic Transitions, Inc. 823 12th St Ne Washington DC 20002-4462 Ph: (202) 397-5042 |
| NPI Number | 1437296571 |
|---|---|
| Provider Enumeration Date | 01/30/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437296571 | NPI | - | NPPES |
| 117892 | Other | DC | AMERIGROUP |
| 21727 | Other | DC | CHARTERED HEALTH |
| 21726 | Other | DC | CHARTERED HEALTH - JOHNSO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | LC301584 (District Of Columbia) | Primary |
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