Organization
PRINCE WILLIAM COUNTY COMMUNITY SERVICES BOARD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TOM GEIB (EXECUTIVE DIRECTOR)
(703) 792-7800
Entity
Organization
Contact information
Practice address
7969 ASTON AVE, MANASSAS, VA 20109
(703) 792-7800
(703) 792-5699
Mailing address
7969 ASTON AVE, MANASSAS, VA 20109
(703) 792-7800
(703) 792-5699
Taxonomy
Speciality
Code
Description
License number
State
261QR0400X
Rehabilitation Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
187835
ANTHEM BCBS PT REHAB SVCS
VA
01
—
187839
ANTHEM BCBS SP REHAB SVCS
VA
01
—
187840
ANTHEM BCBS OT REHAB SVCS
VA
Enumeration date
03/05/2007
Last updated
08/22/2020
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