NPI 1316342934

Green Box Aba, PLLC

Organisation Community/Behavioral Health Agency Springfield, VA

Practice location

Address: 6216 Old Keene Mill CT, Springfield, VA 22152-2323
Phone: (571) 297-4308
Fax: (703) 992-0405
Mailing address: 7704 Gromwell CT, Springfield, VA 22152-3134

Authorised official

Name: Christopher Richardson
Title: Chief Operating Officer
Phone: (571) 297-4308

Registered specialties

Community/Behavioral Health Agency Primary

Agencies Taxonomy 251S00000X Licence 0133000288 (VA)

Other Community/Behavioral Health providers in Virginia →

Registry record

NPI: 1316342934
Entity type: Organization
NPI issued: 24 Oct 2014
Record last updated: 14 Sep 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.