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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