Organization
TDS HEALTH
Active
Organization
TDS HEALTH
Active
Parent organization
TDS HEALTH
Other names
TDS Health Group Homes
Organization subpart
Yes
Provider details
NPI number
Legal business name
TDS HEALTH
Authorized official
STELLA N KINTU PHARM D (DIRECTOR/ AUTHORIZED OFFICER)
(703) 457-1049
Entity
Organization
Contact information
Practice address
4215 DALE BLVD, WOODBRIDGE, VA 22193-2243
(703) 457-1049
Mailing address
4215 DALE BLVD, WOODBRIDGE, VA 22193-2243
(703) 457-1049
Taxonomy
Speciality
Code
Description
License number
State
103TM1800X
Intellectual & Developmental Disabilities Psychologist
Primary
—
—
Other
Enumeration date
04/11/2023
Last updated
04/14/2023
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