Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Department of Youth Rehabilitation Services

Organization Prison Health Clinic/Center · NPI 1063643880

Department of Youth Rehabilitation Services is a Prison Health Clinic/Center in Washington, District of Columbia. Licensed in District of Columbia. Registered with an NPI since 2009.

Licensed in
DC
In the registry since
2009

Practice location Address checks out

1000 Mount Olivet Rd NE
Washington, DC 20002-2210
Phone: (202) 576-8405
Fax: (202) 576-8457
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Prison Health Clinic/Center (primary) Taxonomy 261QP2400X · Licence 261QP2400X (DC)

Record details

NPI number1063643880
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Andrea Weisman — Chief Of Health Services · (202) 576-8139
NPI enumeratedJuly 28, 2009
Last updated in NPPESJuly 28, 2009
Mailing address1000 Mount Olivet Rd Ne, Washington, DC 20002-2210