Adolescent And Family Growth Center, Inc.

LBN: Adolescent And Family Growth Center, Inc.
Adolescent And Family Growth Center, Inc. is an health care organization with primary practice located at 8000 Forbes Pl Suite 201, Springfield VA 22151-2200. The organization recently has 4 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Marriage & Family Therapist, Allopathic & Osteopathic Physicians / Psychiatry, Agencies / Community/Behavioral Health. Behavioral Health & Social Service Providers / Clinical is the primary health care specialty. Adolescent And Family Growth Center, Inc. can be contacted via phone (703) 425-9200, or through Johnson, Jermaine H. via phone (703) 425-9200.

Contact Information

Primary practice address
8000 Forbes Pl Suite 201 Springfield VA 22151-2200
Phone: (703) 425-9200
Fax: (703) 425-9206
Website:
Map and Directions
Authorized official contact:
Name: Johnson, Jermaine H. MS, MFT
Phone: (703) 425-9200

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X
Agencies / Community/Behavioral Health 251S00000X 24203001 Virginia

Profile Details

NPI number 1295875375
LBN Legal business name Adolescent And Family Growth Center, Inc.
DBA Doing business as
Authorized official Johnson, Jermaine H. MS, MFT
Entity Organization
Organization subpart 1 No
Enumeration date Feb 7th, 2007
Last updated Aug 2nd, 2012 - about 12 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1295875375 NPPES
Virginia MEDICAID 000200191

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