Provider Demographics
NPI:1104976216
Name:SCRUPLES CORPORATION
Entity type:Organization
Organization Name:SCRUPLES CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF EXECUTIVE OFFICER
Authorized Official - Prefix:MRS
Authorized Official - First Name:SHARON
Authorized Official - Middle Name:ANGELETE
Authorized Official - Last Name:YORKE-CYRUS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:202-581-2455
Mailing Address - Street 1:2811 PENNSYLVANIA AVE SE
Mailing Address - Street 2:2ND FLOOR
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20020-3865
Mailing Address - Country:US
Mailing Address - Phone:202-581-2455
Mailing Address - Fax:202-581-2459
Practice Address - Street 1:2811 PENNSYLVANIA AVE SE
Practice Address - Street 2:2ND FLOOR
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20020-3865
Practice Address - Country:US
Practice Address - Phone:202-581-2455
Practice Address - Fax:202-581-2459
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-11
Last Update Date:2008-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health