Provider Demographics
NPI:1306299508
Name:ENJL AND ASSOCIATES LLC
Entity type:Organization
Organization Name:ENJL AND ASSOCIATES LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CHIEF EXECUTIVE OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:EBONY
Authorized Official - Middle Name:N
Authorized Official - Last Name:LEA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:855-325-3909
Mailing Address - Street 1:840 1ST ST NE FL 3
Mailing Address - Street 2:SUITE 300
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20002-8000
Mailing Address - Country:US
Mailing Address - Phone:855-325-3909
Mailing Address - Fax:
Practice Address - Street 1:840 1ST ST NE FL 3
Practice Address - Street 2:SUITE 300
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20002-8000
Practice Address - Country:US
Practice Address - Phone:855-325-3909
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-07-22
Last Update Date:2017-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD16780251S00000X
DCLC50080005251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health