Provider Demographics
NPI:1548942550
Name:ENM THERAPEUTICS
Entity type:Organization
Organization Name:ENM THERAPEUTICS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:ERICKA
Authorized Official - Middle Name:N
Authorized Official - Last Name:MAHDI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:202-389-7653
Mailing Address - Street 1:1339 RANDOLPH ST NW
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20011-5527
Mailing Address - Country:US
Mailing Address - Phone:202-389-7653
Mailing Address - Fax:
Practice Address - Street 1:1339 RANDOLPH ST NW
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20011-5527
Practice Address - Country:US
Practice Address - Phone:202-389-7653
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-08-01
Last Update Date:2023-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251S00000XAgenciesCommunity/Behavioral Health
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty
No261QR1100XAmbulatory Health Care FacilitiesClinic/CenterResearch