DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

COMMONWEALTH OF VIRGINIA DEPT OF MENTAL HEALTH AND NORTHERN VIRGINIA T

Active Organization

ICF/Individuals with Intellectual Disabilities · FAIRFAX, VA

Registration Details

NPI Number
1053347476
Provider Type
Organization
NPI Issued
Jun 25, 2006 (19.828803594664 yrs)
Last Updated
Jun 19, 2008

Practice Information

Address
9901 BRADDOCK RD
FAIRFAX, VA, 220321904
Browse VA providers · Browse ZIP 22032
Phone
7033234000
Fax
7033234252
Additional Specialty
Hospitalist
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.