| Community Grapevines Inc | |
|
2125 Rhode Island Ave Ne Washington DC 20018-2836 | |
| (240) 825-8229 | |
| Not Available |
| Full Name | Community Grapevines Inc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 2125 Rhode Island Ave Ne, Washington, District Of Columbia |
| Authorized Official Name and Position | Lakeeta Burnette (CEO) |
| Authorized Official Contact | 2408258229 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Community Grapevines Inc 135 53rd St Se Washington DC 20019-6522 Ph: (240) 825-8229 | Community Grapevines Inc 2125 Rhode Island Ave Ne Washington DC 20018-2836 Ph: (240) 825-8229 |
| NPI Number | 1558150011 |
|---|---|
| Provider Enumeration Date | 05/01/2025 |
| Last Update Date | 05/01/2025 |
| Certification Date | 04/30/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558150011 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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