Organization
BLUSPRING HEALTH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
OLUSOLA EDWARDS (PROGRAM DIRECTOR)
(703) 682-2471
Entity
Organization
Contact information
Practice address
21335 SIGNAL HILL PLZ STE 270, STERLING, VA 20164
(703) 682-2471
Mailing address
21335 SIGNAL HILL PLZ STE 270, STERLING, VA 20164-5567
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
385H00000X
Respite Care
—
—
Other
Enumeration date
06/19/2017
Last updated
10/03/2019
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