Phillips Family Partners | |
7010 Braddock Rd Annandale VA 22003-6006 | |
(703) 658-9054 | |
(703) 658-9056 |
Full Name | Phillips Family Partners |
---|---|
Speciality | Community/behavioral Health |
Location | 7010 Braddock Rd, Annandale, Virginia |
Authorized Official Name and Position | Sandra Porteous (PROGRAM MANAGER) |
Authorized Official Contact | 7036589054 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Phillips Family Partners 7010 Braddock Rd Annandale VA 22003-6006 Ph: (703) 658-9054 | Phillips Family Partners 7010 Braddock Rd Annandale VA 22003-6006 Ph: (703) 658-9054 |
NPI Number | 1659453231 |
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Provider Enumeration Date | 10/20/2006 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1659453231 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | 135 (Virginia) | Primary |
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