| Over The Rainbow Llc | |
|
2737 Devonshire Pl Nw Unit I Washington DC 20008-3479 | |
| (540) 455-2585 | |
| Not Available |
| Full Name | Over The Rainbow Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 2737 Devonshire Pl Nw, Washington, District Of Columbia |
| Authorized Official Name and Position | Jennifer J Fuentes (FOUNDER AND CLINICIAN) |
| Authorized Official Contact | 5404552585 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Over The Rainbow Llc 2737 Devonshire Pl Nw Unit I Washington DC 20008-3479 Ph: (540) 455-2585 | Over The Rainbow Llc 2737 Devonshire Pl Nw Unit I Washington DC 20008-3479 Ph: (540) 455-2585 |
| NPI Number | 1255666145 |
|---|---|
| Provider Enumeration Date | 10/09/2009 |
| Last Update Date | 10/09/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255666145 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | PRC13849 (District Of Columbia) | Primary |
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