NPI | 1942551577 |
---|---|
Other Name | LEVERNE CARLTON VENTURES |
Entity Type | Organization |
Authorized Contact | LEVERNE C CARLTON Nurse Practitioner Doctorate 202-380-6660 |
Organization Subpart ? | No |
Primary Taxonomy | 282NC0060X General Acute Care Hospital, Critical Access (Licence: GU 615312246S) |
Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health (Licence: GU 615310710) |
276400000X Rehabilitation, Substance Use Disorder Unit (Licence: GU 240453188S) | |
Enumeration Date | 2012-09-22 |
Last Update Date | 2012-09-22 |