Green Door, Inc. in Washington - Addiction (substance Use Disorder)
Green Door, Inc. - NPI 1790821866
Green Door, Inc. is a Addiction (substance Use Disorder) in Washington, District Of Columbia. Green Door, Inc. practices all healthcare services and medical treatments related to Addiction (substance Use Disorder). The NPI Number for Green Door, Inc. is 1790821866. The last update date is 2020-08-22.
Green Door, Inc.'s current location address is 1221 Taylor St Nw, Washington, District Of Columbia. You can contact this provider via phone number 2024649200 and fax number 2024645730. The mailing address for Green Door, Inc. is 1221 Taylor St Nw, Washington, District Of Columbia. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Green Door, Inc. |
|---|---|
| Address | 1221 Taylor St Nw, Washington, District Of Columbia |
| Phone Number | 2024649200 |
| Fax Number | 2024645730 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | DEPUTY DIR |
|---|---|
| Authorized Official Name | Clancy Michael |
| Telephone Number | 2024649200 |
NPI Number Detail
| NPI Number | 1790821866 |
|---|---|
| Provider Enumeration Date | 2007-01-29 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 1221 Taylor St Nw |
|---|---|
| City | Washington |
| State | District Of Columbia (DC) |
| Post Code | 200115617 |
| Phone Number | 2024649200 |
| Fax Number | 2024645730 |
Provider's Primary Taxonomy Detail
| Speciality | Addiction (substance Use Disorder) |
|---|---|
| Taxonomy | 101Ya0400X |
| Licence No | ADD13912 |
|
Definition: A counselor who helps people with alcohol, drug, gambling, internet, and other types of addictions. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 5237 | DC | HEALTHRIGHT (MCO) | |
| 287814 | DC | AMERIGROUP (MEDICAID MCO) | |
| 23349 | DC | CHARTERED HEALTH PLAN (MC |
Post Comment/ Review Below
What is the Green Door, Inc.'s unique identification number?
The Green Door, Inc. has been assigned the NPI (National Provider Identifier) Number 1790821866 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please provide the complete physical location address of Green Door, Inc.?
The Green Door, Inc. is physically situated at 1221 Taylor St Nw, in the city of Washington, state of DC, with the postal code 200115617.
What is the Green Door, Inc.'s area of specialization and corresponding taxonomy classification?
The Green Door, Inc.'s specialty field is Addiction (substance Use Disorder), and it falls under the taxonomy code 101Ya0400X, which categorizes healthcare providers based on their specialties.
When was the Green Door, Inc.'s 1790821866 issued?
The Green Door, Inc.'s 1790821866 was issued on 2007-01-29.
As of what date was the information regarding Green Door, Inc., such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Green Door, Inc., including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2020-08-22.
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