| Prince William Community Services | |
|
7762 Donegan Dr Manassas VA 20109-2868 | |
| (703) 792-4935 | |
| Not Available |
| Full Name | Prince William Community Services |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 7762 Donegan Dr, Manassas, Virginia |
| Authorized Official Name and Position | Alan Wooten (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 7037927894 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Prince William Community Services 8033 Ashton Ave Manassas VA 20109-2895 Ph: (703) 792-7800 | Prince William Community Services 7762 Donegan Dr Manassas VA 20109-2868 Ph: (703) 792-4935 |
| NPI Number | 1902342934 |
|---|---|
| Provider Enumeration Date | 01/14/2017 |
| Last Update Date | 01/14/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902342934 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 0904000578 (Virginia) | Primary |
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