Organization
LA MAZON TRAINING CENTER INCORPORATED
Active
Other names
Training and Health Services of LMZ INC
Organization subpart
No
Provider details
NPI number
Authorized official
GENEVIEVE KOFIE (DIRECTOR/OWNER)
(571) 201-3317
Entity
Organization
Contact information
Practice address
1418 IDAHO ST, WOODBRIDGE, VA 22191-3706
(571) 201-3317
(866) 985-4040
Mailing address
9515 EREDINE WAY, BRISTOW, VA 20136-3517
(571) 201-3317
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
08/28/2023
Last updated
10/19/2023
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