Tabula Rasa Domestic Violence Inc

Primary specialty

Case Management AgencyTaxonomy code 251B00000X

Legal business name

TABULA RASA DOMESTIC VIOLENCE INC

Practice address

4325 Forbes Blvd Ste C
Lanham, MD 20706-4856

Phone

(240) 217-8442

NPI assigned

May 22, 2017

Last updated

May 22, 2017By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ms. Ava Ross

Title

Executive Director

Phone

(240) 217-8442

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1495411200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1495411200000",
    "number": "1336676212",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13017 WISTERIA DR # 172",
            "city": "GERMANTOWN",
            "state": "MD",
            "postal_code": "208742621",
            "telephone_number": "240-217-8442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4325 FORBES BLVD STE C",
            "city": "LANHAM",
            "state": "MD",
            "postal_code": "207064856",
            "telephone_number": "240-217-8442"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TABULA RASA DOMESTIC VIOLENCE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-22",
        "last_updated": "2017-05-22",
        "status": "A",
        "authorized_official_last_name": "ROSS",
        "authorized_official_first_name": "AVA",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "240-217-8442",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Case Management Agency in Lanham, MD
• Providers in Lanham, MD by specialty
• Case Management Agency in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.