COMMONWEALTH OF VIRGINIA DEPT OF MENTAL HEALTH AND NORTHERN VIRGINIA T

FAIRFAX, VA
NPI1053347476
Entity TypeOrganization
Authorized ContactMARK S DIORIO
Facility Director
703-323-4002
Organization Subpart ?No
Primary Taxonomy315P00000X Intermediate Care Facility, Intellectual Disabilities
Additional Taxonomies320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities
208M00000X Hospitalist
Enumeration Date2006-06-25
Last Update Date2008-06-19
Business Address
COMMONWEALTH OF VIRGINIA DEPT OF MENTAL HEALTH AND NORTHERN VIRGINIA T
9901 BRADDOCK RD
FAIRFAX, VA 22032-1904
Phone number: 703-323-4000
Mailing Address
COMMONWEALTH OF VIRGINIA DEPT OF MENTAL HEALTH AND NORTHERN VIRGINIA T
9901 BRADDOCK RD
FAIRFAX, VA 22032-1904
Phone number: 703-323-4000