OrganizationActive
Executive Addictive Disease Programs
NPI 1740517283 · Addiction (Substance Use Disorder) Counselor · Washington, DC
Provider details
- NPI number
- 1740517283
- Entity type
- Organization
- Primary specialty
- Addiction (Substance Use Disorder) CounselorBehavioral Health & Social Service Providers
- Organization subpart
- No
- Authorized official
- Amanda Carpenter, Office Manager/Financial Coordinato(202) 362-2588
- License
- PRC948 (DC)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Behavioral Health & Social Service Providers
Practice location
4335 Wisconsin Ave Nw
Washington, DC 20016-2148
Phone: (202) 362-2588
Fax: (202) 966-4214
Approximate (ZIP-level) locationGet directions
Mailing address
4335 Wisconsin Ave Nw
Washington, DC 20016-2148
Other names (DBA / former)
- Other name
- Eadp
Registry dates
- Enumerated
- 2009-11-04
- Last updated
- 2009-11-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.