Provider Demographics
NPI:1780049312
Name:U.S.TREASURY
Entity type:Organization
Organization Name:U.S.TREASURY
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:U.S. FEDERAL MARSHALS
Authorized Official - Prefix:DR
Authorized Official - First Name:DWIGHT
Authorized Official - Middle Name:
Authorized Official - Last Name:SANDERS
Authorized Official - Suffix:SR
Authorized Official - Credentials:SR/JD/LLM/DSC/MBA/MD
Authorized Official - Phone:888-767-6738
Mailing Address - Street 1:2917 VINE ST UNIT 19543
Mailing Address - Street 2:2201 C. ST.NW
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45219-7522
Mailing Address - Country:US
Mailing Address - Phone:513-405-9610
Mailing Address - Fax:513-257-6718
Practice Address - Street 1:200 INPENDANCE AVE SW
Practice Address - Street 2:950 PENN. AV NW
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20520-0001
Practice Address - Country:US
Practice Address - Phone:888-767-6738
Practice Address - Fax:513-257-6718
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:FDIC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2015-12-26
Last Update Date:2015-12-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DC700358133222Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes222Q00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersDevelopmental TherapistGroup - Multi-Specialty