| Phillips Programs | |
|
7010 Braddock Rd Annandale VA 22003-6006 | |
| (703) 941-8810 | |
| (703) 658-2378 |
| Full Name | Phillips Programs |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 7010 Braddock Rd, Annandale, Virginia |
| Authorized Official Name and Position | Kerry Rojas (COMPLIANCE AND DATA COORDINATOR) |
| Authorized Official Contact | 7039418810 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Phillips Programs 7010 Braddock Rd Annandale VA 22003-6006 Ph: (703) 941-8810 | Phillips Programs 7010 Braddock Rd Annandale VA 22003-6006 Ph: (703) 941-8810 |
| NPI Number | 1568714624 |
|---|---|
| Provider Enumeration Date | 10/12/2012 |
| Last Update Date | 10/12/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568714624 | NPI | - | NPPES |
| 1659453231 | Medicaid | VA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 1647 (Virginia) | Primary |
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