OrganizationActive
Life Care Inc.
NPI 1194275172 · Mental Health Clinic/Center (Including Community Mental Health Center) · Washington, DC
Provider details
- NPI number
- 1194275172
- Entity type
- Organization
- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)Ambulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Benedict Foretia, Ceo(202) 836-4841
Specialties & taxonomies
Ambulatory Health Care Facilities
- Adult Mental Health Clinic/Center261QM0850X
Ambulatory Health Care Facilities
- Community/Behavioral Health Agency251S00000X
Agencies
- Developmental Disabilities Clinic/Center261QD1600X
Ambulatory Health Care Facilities
Practice location
1427 Good Hope Rd Se
Washington, DC 20020
Phone: (202) 836-4841
Approximate (ZIP-level) locationGet directions
Mailing address
1427 Good Hope Rd Se
Washington, DC 20020-5614
Registry dates
- Enumerated
- 2016-10-13
- Last updated
- 2025-11-17
- Certified
- 2025-11-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.