# FREDERICKSBURG AREA HEALTH AND SUPPORT SERVICES

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** FREDERICKSBURG AREA HEALTH AND SUPPORT SERVICES
- **Other names:** Mosaic Care Center, Fredericksburg Area HIV/AIDS Support Services
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1851030274
- **Legal business name:** FREDERICKSBURG AREA HEALTH AND SUPPORT SERVICES
- **Authorized official:** JOSEPH LYTTLE (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (540) 907-4555

## Contact information

- **Practice address:** 10514 WAKEMAN DR, FREDERICKSBURG, VA 22407-8040
- **Practice address phone:** (540) 993-4473
- **Mailing address:** 4343 PLANK RD STE 100, FREDERICKSBURG, VA 22407-4807
- **Mailing address phone:** (540) 993-4473

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1041C0700X | Clinical Social Worker | — | NULL | Yes |
| 1041C0700X | Clinical Social Worker | — | — | Yes |

## Other

- **Enumeration date:** 06/02/2022
- **Last updated:** 08/30/2022