New Destinaton Llc in Washington - Rehabilitation, Substance Use Disorder

New Destinaton Llc - NPI 1740468008

New Destinaton Llc is a Rehabilitation, Substance Use Disorder in Washington, District Of Columbia. New Destinaton Llc practices all healthcare services and medical treatments related to Rehabilitation, Substance Use Disorder. The NPI Number for New Destinaton Llc is 1740468008. The last update date is 2009-04-23.

New Destinaton Llc's current location address is 1424 Pennsylvania Ave Se, Washington, District Of Columbia. You can contact this provider via phone number 2025460000. The mailing address for New Destinaton Llc is 1424 Pennsylvania Ave Se, Washington, District Of Columbia. To know further, please read the information below!

Provider Profile Detail

Provider Organization New Destinaton Llc
Address 1424 Pennsylvania Ave Se, Washington, District Of Columbia
Phone Number 2025460000
Fax Number
Sole Proprietor --
Credentials --

Authorized Official

Title or Position CLINICAL D
Authorized Official Name Averyt Westly Charles
Credentials LICSW
Telephone Number 2025460000

NPI Number Detail

NPI Number 1740468008
Provider Enumeration Date 2008-02-08
Last Updated Date 2009-04-23

Provider Mailing Address Detail

Address 1424 Pennsylvania Ave Se
City Washington
State District Of Columbia (DC)
Post Code 200033029
Phone Number 2025460000
Fax Number

Provider's Primary Taxonomy Detail

Speciality Rehabilitation, Substance Use Disorder
Taxonomy 261Qr0405X
Definition:
Provides therapeutic interventions to treat alcohol and drug addiction.

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FAQs about New Destinaton Llc

What is the unique provider identifier assigned to New Destinaton Llc?

The New Destinaton Llc has been issued the NPI (National Provider Identifier) 1740468008 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you please share the complete physical address where New Destinaton Llc is geographically located?

The New Destinaton Llc is physically situated at the following location: 1424 Pennsylvania Ave Se, Washington, DC, 200033029.

What is New Destinaton Llc's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for New Destinaton Llc is Rehabilitation, Substance Use Disorder, and the taxonomy code that classifies this field of practice is 261Qr0405X.

On what date did the New Destinaton Llc receive the assignment of its 1740468008 from the Centers for Medicare & Medicaid Services?

The New Destinaton Llc was issued its 1740468008 by the Centers for Medicare & Medicaid Services on 2008-02-08.

As of what date was the information pertaining to New Destinaton Llc, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to New Destinaton Llc, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2009-04-23.

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