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DEPARTMENT OF YOUTH REHABILITATION SERVICES
NPI 1063643880
Clinic/Center - Prison Health in Washington, DC

Active since July 28, 2009
1000 MOUNT OLIVET RD NE, WASHINGTON, DC 20002(202) 576-8405(202) 576-8457 Get Directions Write a Review

NPPES record last updated: July 28, 2009. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Department Of Youth Rehabilitation Services NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DEPARTMENT OF YOUTH REHABILITATION SERVICES (NPI 1063643880) is a healthcare organization registered as a prison health in Washington, District Of Columbia and active in the NPI registry since July 2009. The organization lists Andrea Weisman, Chief Of Health Services, as its authorized official.

NPPES Registry Identity

NPI1063643880
Entity TypeOrganization
Primary Taxonomy261QP2400X
Legal Business NameDEPARTMENT OF YOUTH REHABILITATION SERVICES
Location Address1000 MOUNT OLIVET RD NEWashington, DC 20002-2210
Mailing Address1000 Mount Olivet Rd NeWashington, DC 20002-2210 · (202) 576-8405 · Fax (202) 576-8457
Phone(202) 576-8405
Fax(202) 576-8457
Organization SubpartNo
Authorized OfficialAndrea WeismanChief Of Health Services · (202) 576-8139
Enumeration DateJuly 28, 2009
✔ NPI 1063643880 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Prison HealthAmbulatory Health Care Facilities
Taxonomy Code261QP2400X
License✔ Licensed in DC · 261QP2400X
1000 MOUNT OLIVET RD NE, Washington, DC 20002
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Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. CHRISTOPHER LEE HAMPTON FNP-C, DNP
Nurse Practitioner (Family)
1000 MOUNT OLIVET RD NE
WASHINGTON, DC 20002
District of Columbia (202) 576-8418
CALVIN IVY MASSE
Home Health Aide
1000 MOUNT OLIVET RD NE
WASHINGTON, DC 20002
District of Columbia (202) 440-2925
DR. THERESA KELLY-HOLMES PHD
Psychologist
1000 MOUNT OLIVET RD NE
WASHINGTON, DC 20002
District of Columbia (202) 576-8125
MRS. SAFURATU AJAYI PORTER CRNP, FNP-C
Nurse Practitioner (Family)
1000 MOUNT OLIVET RD NE
WASHINGTON, DC 20002
District of Columbia (202) 576-7624
IFEANYI BOSAH LPC
Counselor (Mental Health)
1000 MOUNT OLIVET RD NE
WASHINGTON, DC 20002
District of Columbia (240) 330-3844

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Department Of Youth Rehabilitation Services's NPI number?

The NPI number for Department Of Youth Rehabilitation Services is 1063643880. It was assigned to this organization in the NPPES registry on July 28, 2009.

Where is Department Of Youth Rehabilitation Services located?

Department Of Youth Rehabilitation Services is located at 1000 Mount Olivet Rd NE, Washington, DC 20002. The listed phone number is (202) 576-8405.

What is Department Of Youth Rehabilitation Services's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Prison Health, with taxonomy code 261QP2400X.

When was this NPI record last updated?

The NPPES record for Department Of Youth Rehabilitation Services was last updated on July 28, 2009. NPI Profile syncs with the weekly NPPES data releases published by CMS.