NPI 1619351038

Endependence Center of Northern Virginia

Organisation Supports Brokerage Agency Arlington, VA

Practice location

Address: 2300 Clarendon Blvd 305, Arlington, VA 22201-3398
Phone: (703) 525-3268
Fax: (703) 525-3585

Authorised official

Name: Brewster Thackeray
Title: Executive Director
Phone: (703) 525-3268

Registered specialties

Supports Brokerage Agency Primary

Agencies Taxonomy 251X00000X

Other Supports Brokerage providers in Virginia →

Registry record

NPI: 1619351038
Entity type: Organization
NPI issued: 15 Jul 2015
Record last updated: 15 Jul 2015

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.