Provider Demographics
NPI:1124688536
Name:HERE'S 2 LIFE
Entity type:Organization
Organization Name:HERE'S 2 LIFE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINICAL/EXECUTIVE DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:JULIAN
Authorized Official - Middle Name:D
Authorized Official - Last Name:OWENS
Authorized Official - Suffix:
Authorized Official - Credentials:PHD, MPH
Authorized Official - Phone:703-624-3459
Mailing Address - Street 1:6023 RIDDLE WALK
Mailing Address - Street 2:
Mailing Address - City:ALEXANDRIA
Mailing Address - State:VA
Mailing Address - Zip Code:22312-2773
Mailing Address - Country:US
Mailing Address - Phone:703-624-3459
Mailing Address - Fax:
Practice Address - Street 1:6023 RIDDLE WALK
Practice Address - Street 2:
Practice Address - City:ALEXANDRIA
Practice Address - State:VA
Practice Address - Zip Code:22312-2773
Practice Address - Country:US
Practice Address - Phone:703-624-3459
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-06-18
Last Update Date:2019-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)
No251K00000XAgenciesPublic Health or Welfare