| Youth For Tomorrow New Life Center, Inc. | |
|
11835 Hazel Circle Dr Bristow VA 20136-2180 | |
| (703) 636-5100 | |
| (703) 361-4335 |
| Full Name | Youth For Tomorrow New Life Center, Inc. |
|---|---|
| Speciality | Clinic/center - Community Health |
| Location | 11835 Hazel Circle Dr, Bristow, Virginia |
| Authorized Official Name and Position | Lori Perez (CONTROLLER) |
| Authorized Official Contact | 7036365100 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Youth For Tomorrow New Life Center, Inc. 11835 Hazel Circle Dr Bristow VA 20136-2180 Ph: (703) 636-5100 | Youth For Tomorrow New Life Center, Inc. 11835 Hazel Circle Dr Bristow VA 20136-2180 Ph: (703) 636-5100 |
| NPI Number | 1902370109 |
|---|---|
| Provider Enumeration Date | 01/22/2019 |
| Last Update Date | 01/22/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902370109 | NPI | - | NPPES |
| 1316118292 | Medicaid | VA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QC1500X | Clinic/center - Community Health | (* (Not Available)) | Primary |
Seek Wellbeing Housecalls Program Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 10040 Pentland Hills Way, Bristow, VA 20136 Phone: 202-888-4959 Fax: 703-995-0930 | |
Uva Health Bull Run Family Medicine Bristow Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 10322 Bristow Center Dr, Bristow, VA 20136 Phone: 571-284-4230 Fax: 703-257-1495 |