Commonwealth Of Virginia Dept Of Mental Health And Northern Virginia T

LBN: Commonwealth Of Virginia Dept Of Mental Health And Northern Virginia T
Commonwealth Of Virginia Dept Of Mental Health And Northern Virginia T is an health care organization with primary practice located at 9901 Braddock Rd , Fairfax VA 22032-1904. The organization recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hospitalist, Nursing & Custodial Care Facilities / Intermediate Care Facility, Mentally Retarded, Residential Treatment Facilities / Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities. Nursing & Custodial Care Facilities / Intermediate Care Facility, Mentally Retarded is the primary health care specialty. Commonwealth Of Virginia Dept Of Mental Health And Northern Virginia T can be contacted via phone (703) 323-4000, or through Diorio, Mark S via phone (703) 323-4002.

Contact Information

Primary practice address
9901 Braddock Rd Fairfax VA 22032-1904
Fax: (703) 323-4252
Website:
Authorized official contact:
Name: Diorio, Mark S PH.D., MPH

Profile Details

NPI number 1053347476
LBN Legal business name Commonwealth Of Virginia Dept Of Mental Health And Northern Virginia T
DBA Doing business as
Authorized official Diorio, Mark S PH.D., MPH
Entity Organization
Organization subpart 1 No
Enumeration date Jun 25th, 2006
Last updated Jun 19th, 2008 - about 16 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 1053347476 NPPES
Virginia MEDICAID 49-6630-9

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