Provider Demographics
NPI:1609196906
Name:NATIONAL INSTITUTE OF RELATIONSHIP ENHANCEMENT
Entity type:Organization
Organization Name:NATIONAL INSTITUTE OF RELATIONSHIP ENHANCEMENT
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:FRANC
Authorized Official - Last Name:SCUKA
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW-C
Authorized Official - Phone:301-986-1479
Mailing Address - Street 1:4400 E WEST HWY
Mailing Address - Street 2:SUITE 28
Mailing Address - City:BETHESDA
Mailing Address - State:MD
Mailing Address - Zip Code:20814-4524
Mailing Address - Country:US
Mailing Address - Phone:301-986-1479
Mailing Address - Fax:301-680-3756
Practice Address - Street 1:4400 E WEST HWY
Practice Address - Street 2:SUITE 28
Practice Address - City:BETHESDA
Practice Address - State:MD
Practice Address - Zip Code:20814-4524
Practice Address - Country:US
Practice Address - Phone:301-986-1479
Practice Address - Fax:301-680-3756
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:INSTITUTE FOR THE DEVELOPMENT OF EMOTIONAL AND LIFE SKILLS, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2010-06-09
Last Update Date:2010-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD089371041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty