COMMONWEALTH OF VIRGINIA DEPT OF MENTAL HEALTH AND NORTHERN VIRGINIA T is an intermediate care facility mentally retarded in Fairfax, VA. The provider is an intermediate care facility providing services for individuals with intellectual disabilities. COMMONWEALTH OF VIRGINIA DEPT OF MENTAL HEALTH AND NORTHERN VIRGINIA T NPI is 1053347476. The provider is registered as an organization entity type and is a multi-specialty group.
The provider's business location address is:
9901 BRADDOCK RD
FAIRFAX, VA
ZIP 22032-904
Phone: (703) 323-4000
Fax: (703) 323-4252
The provider's authorized official is Mark S Diorio .
The authorized official title is Facility Director and has the following contact phone number (703) 323-4002.
The enumeration date for this NPI number is 6/25/2006 and was last updated on 6/19/2008.