Developmental Support Associates, LLC

Key facts

NPI

1295976306

Entity type

Organization (NPI type 2)

Primary specialty

Community/Behavioral Health Agency 251S00000X

Legal business name

DEVELOPMENTAL SUPPORT ASSOCIATES, LLC

Practice address

2929 Nelson PL SE
Apt. 2
Washington, DC 20019-7717

Phone

(202) 545-1999

Fax

(877) 394-5106

NPI assigned

Mar 19, 2009

Organization subpart

No

Authorized official

Name

Mr. George Norwood Rathbone, LCPC, CCBT

Title

Director/Member/Manager

Phone

(301) 495-2820

National Provider Directory

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Mar 19, 2009.

{
    "created_epoch": "1237420800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1237420800000",
    "number": "1295976306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7682",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209077682",
            "telephone_number": "301-588-7228",
            "fax_number": "877-394-5106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2929 NELSON PL SE",
            "address_2": "APT. 2",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200197717",
            "telephone_number": "202-545-1999",
            "fax_number": "877-394-5106"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEVELOPMENTAL SUPPORT ASSOCIATES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-19",
        "last_updated": "2009-03-19",
        "status": "A",
        "authorized_official_last_name": "RATHBONE",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_middle_name": "NORWOOD",
        "authorized_official_title_or_position": "DIRECTOR/MEMBER/MANAGER",
        "authorized_official_telephone_number": "301-495-2820",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LCPC, CCBT"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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