# BRAIN INJURY SERVCIES

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1215316138
- **Authorized official:** DONNA A. MELTZER (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (703) 451-8881

## Contact information

- **Practice address:** 8136 OLD KEENE MILL RD, SUITE B102, SPRINGFIELD, VA 22152-1850
- **Practice address phone:** (703) 451-8881
- **Practice address fax:** (703) 451-8820
- **Mailing address:** 8136 OLD KEENE MILL RD, SUITE B102, SPRINGFIELD, VA 22152-1850
- **Mailing address phone:** (703) 451-8881
- **Mailing address fax:** (703) 451-8820

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2084P0301X | Brain Injury Medicine (Psychiatry & Neurology) Physician | — | NULL | Yes |
| 2084P0301X | Brain Injury Medicine (Psychiatry & Neurology) Physician | — | — | Yes |
| 251B00000X | Case Management Agency | — | NULL | — |

## Other

- **Enumeration date:** 05/26/2015
- **Last updated:** 09/03/2024