Organization
PRINCE WILLIAM COMMUNITY SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALAN WOOTEN MPA (EXECUTIVE DIRECTOR)
(703) 792-7894
Entity
Organization
Contact information
Practice address
7762 DONEGAN DR, MANASSAS, VA 20109-2868
(703) 792-4935
Mailing address
8033 ASHTON AVE, MANASSAS, VA 20109-2895
(703) 792-7800
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
0904000578
VA
Other
Enumeration date
01/14/2017
Last updated
01/14/2017
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