| Youth For Tomorrow New Life Center Inc | |
|
11835 Hazel Circle Dr Bristow VA 20136-2180 | |
| (703) 368-7995 | |
| (703) 361-4335 |
| Full Name | Youth For Tomorrow New Life Center Inc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 11835 Hazel Circle Dr, Bristow, Virginia |
| Authorized Official Name and Position | Dave Loop (CHIEF OPERATING OFFICER) |
| Authorized Official Contact | 7033967234 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Youth For Tomorrow New Life Center Inc 11835 Hazel Circle Dr Bristow VA 20136-2180 Ph: (703) 368-7995 | Youth For Tomorrow New Life Center Inc 11835 Hazel Circle Dr Bristow VA 20136-2180 Ph: (703) 368-7995 |
| NPI Number | 1265775241 |
|---|---|
| Provider Enumeration Date | 03/28/2013 |
| Last Update Date | 03/28/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265775241 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 1953-02-029 (Virginia) | Primary |
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