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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