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Organization

GEORGE MASON UNIVERSITY

Active
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Organization

GEORGE MASON UNIVERSITY

Active
Parent organization
GEORGE MASON UNIVERSITY
Organization subpart
Yes

Provider details

NPI number
Legal business name
GEORGE MASON UNIVERSITY
Authorized official
NICOLE BEADLES (DIRECTOR)
(703) 993-5127
Entity
Organization

Contact information

Practice address
4455 GEORGE MASON BLVD., THOMPSON HALL L040, FAIRFAX, VA 22030
(703) 993-3938
Mailing address
4400 UNIVERSITY DR # MS 4B6, FAIRFAX, VA 22030-4422

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary

Other

Enumeration date
08/16/2023
Last updated
08/16/2023
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