Individual
WILLIAM HENRY BARNES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3112 PLANTATION PKWY, FAIRFAX, VA 22030-2118
(240) 462-0302
Mailing address
3112 PLANTATION PKWY, FAIRFAX, VA 22030-2118
(240) 462-0302
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
03/17/2018
Last updated
03/17/2018
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