OrganizationActive
The Institute for the Prevention & Eradication of Violence
NPI 1902063795 · Adolescent and Children Mental Health Clinic/Center · Washington, DC
Provider details
- NPI number
- 1902063795
- Entity type
- Organization
- Primary specialty
- Adolescent and Children Mental Health Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Corrine Simons, Executive Director(202) 373-1815
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
4409 S Capitol St Sw
Washington, DC 20032-2107
Phone: (202) 373-1815
Fax: (240) 778-6391
Approximate (ZIP-level) locationGet directions
Mailing address
4409 S Capitol St Sw
Washington, DC 20032-2107
Registry dates
- Enumerated
- 2008-05-20
- Last updated
- 2008-05-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.