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Organization

KAISER FOUNDATION HEALTH PLAN OF THE MID ATLANTIC STATES, INC

Active
Parent organization
KAISER FOUNDATION HEALTH PLAN OF THE MID ATLANTIC STATES, INC
Other names
Kaiser Permanente Tysons Corner Behavioral Health
Organization subpart
Yes

Provider details

NPI number
Legal business name
KAISER FOUNDATION HEALTH PLAN OF THE MID ATLANTIC STATES, INC
Authorized official
COLLEEN SWINTON (DIRECTOR, CREDENTIALING)
(301) 257-2797
Entity
Organization

Contact information

Practice address
8008 WESTPARK DR, MC LEAN, VA 22102-3109
(301) 816-2424
Mailing address
4000 GARDEN CITY DR, HYATTSVILLE, MD 20785-2418
(301) 816-2424

Taxonomy

Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary

Other

Enumeration date
01/21/2025
Last updated
07/24/2025
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