Organization · Type 2 NPI

Prince William County Community Services Board

Mental Health Clinic/Center (Including Community Mental Health Center) · Manassas, VA

NPI number 1053402800 Active

Practice location

7969 Ashton Ave
Manassas, VA 20109-2885

Fax (703) 792-5699

Specialties and licenses

TaxonomyCodeLicense
Mental Health Clinic/Center (Including Community Mental Health Center) Primary 261QM0801XNone listed

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About NPI 1053402800

Prince William County Community Services Board's National Provider Identifier is 1053402800, issued on Sep 27, 2006. The primary taxonomy on file is Mental Health Clinic/Center (Including Community Mental Health Center) (261QM0801X), and the practice location is in Manassas, VA. The record was last updated on Oct 30, 2013.