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Agencies Case Management

Provider NPI: 1043280415

Organization Information:
Organization is not Subpart
Authorized Official:  GLENDA D PITTMAN  DIVISION CHIEF  703-228-1613

Practice Location:
Tel: 703-228-1600  Fax: --

Business Mailing Address:
Tel: 703-228-1613  Fax: 703-228-1117

NPI Information:
NPI: 1043280415
Entity Type: Organization


PrimaryCodeCategory/DescriptionStateLicense Number
Case Management
Day Training, Developmentally Disabled Services
Public Health or Welfare
Community/Behavioral Health

Other Provider Identifiers:


American Medical Association 2012 taxonomy code information

Code: 251S00000X





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