| Adolescent And Family Growth Center, Inc. | |
|
8000 Forbes Pl Suite 201 Springfield VA 22151-2200 | |
| (703) 425-9200 | |
| (703) 425-9206 |
| Full Name | Adolescent And Family Growth Center, Inc. |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 8000 Forbes Pl, Springfield, Virginia |
| Authorized Official Name and Position | Jermaine H. Johnson (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 7034259200 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Adolescent And Family Growth Center, Inc. 8000 Forbes Pl Suite 201 Springfield VA 22151-2200 Ph: (703) 425-9200 | Adolescent And Family Growth Center, Inc. 8000 Forbes Pl Suite 201 Springfield VA 22151-2200 Ph: (703) 425-9200 |
| NPI Number | 1295875375 |
|---|---|
| Provider Enumeration Date | 02/07/2007 |
| Last Update Date | 08/02/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295875375 | NPI | - | NPPES |
| 000200191 | Medicaid | VA |
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