Organization
ENDEPENDENCE CENTER OF NORTHERN VIRGINIA, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID V BURDS (INTERIM EXECUTIVE DIRECTOR)
(703) 525-3268
Entity
Organization
Contact information
Practice address
3100 CLARENDON BLVD, ARLINGTON, VA 22201-5330
(703) 525-3268
(703) 525-3585
Mailing address
3100 CLARENDON BLVD, ARLINGTON, VA 22201-5330
(703) 525-3268
(703) 525-3585
Taxonomy
Speciality
Code
Description
License number
State
251V00000X
Voluntary or Charitable Agency
Primary
—
—
Other
Enumeration date
01/29/2007
Last updated
08/22/2020
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