| Youth Villages | |
|
1911 Fort Myer Dr 305 Arlington VA 22209-1607 | |
| (703) 516-6951 | |
| Not Available |
| Full Name | Youth Villages |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1911 Fort Myer Dr, Arlington, Virginia |
| Authorized Official Name and Position | Austin Hicks (DISTRICT MANAGER) |
| Authorized Official Contact | 7035166951 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Youth Villages 1911 N Fort Myer Drive 305 Arlington VA 22209 Ph: (703) 516-6951 | Youth Villages 1911 Fort Myer Dr 305 Arlington VA 22209-1607 Ph: (703) 516-6951 |
| NPI Number | 1922470210 |
|---|---|
| Provider Enumeration Date | 10/26/2015 |
| Last Update Date | 10/26/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922470210 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | BLC10015648503 (Virginia) | Primary |
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