Organization
YOUTH FOR TOMORROW NEW LIFE CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVE LOOP (CHIEF OPERATING OFFICER)
(703) 396-7234
Entity
Organization
Contact information
Practice address
11835 HAZEL CIRCLE DR, BRISTOW, VA 20136-2180
(703) 368-7995
(703) 361-4335
Mailing address
11835 HAZEL CIRCLE DR, BRISTOW, VA 20136-2180
(703) 368-7995
(703) 361-4335
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
1953-02-029
VA
Other
Enumeration date
03/28/2013
Last updated
03/28/2013
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