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Organization

JUNIPER ADULT HEALTH CENTER INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
BAHAR JAVADI LPC (OWNER/LPC)
(301) 717-9989
Entity
Organization

Contact information

Practice address
11426 WILLOW GREEN CIR, MANASSAS, VA 20109-8528
(301) 717-9989
Mailing address
11108 BROAD GREEN DR, POTOMAC, MD 20854-2021
(301) 717-9989

Taxonomy

Speciality
Code
Description
License number
State
372600000X
Adult Companion
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
30017442720001
VA
Enumeration date
06/07/2022
Last updated
06/07/2022
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