Provider Demographics
NPI:1164384202
Name:PROJECT ENCOMPASS INC.
Entity type:Organization
Organization Name:PROJECT ENCOMPASS INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:CLARYN
Authorized Official - Middle Name:LYDELE
Authorized Official - Last Name:BURNETT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:678-635-6124
Mailing Address - Street 1:9832 LYON AVE
Mailing Address - Street 2:
Mailing Address - City:LAUREL
Mailing Address - State:MD
Mailing Address - Zip Code:20723-1722
Mailing Address - Country:US
Mailing Address - Phone:678-635-6124
Mailing Address - Fax:866-703-4593
Practice Address - Street 1:9832 LYON AVE
Practice Address - Street 2:
Practice Address - City:LAUREL
Practice Address - State:MD
Practice Address - Zip Code:20723-1722
Practice Address - Country:US
Practice Address - Phone:678-635-6124
Practice Address - Fax:866-703-4593
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-11-26
Last Update Date:2025-11-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes324500000XResidential Treatment FacilitiesSubstance Abuse Rehabilitation Facility