Provider Demographics
NPI:1164674578
Name:ARLINGTON COUNTY GOVERNMENT
Entity Type:Organization
Organization Name:ARLINGTON COUNTY GOVERNMENT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHAIRMAN ARLINGTON COUNTY BOARD
Authorized Official - Prefix:MR
Authorized Official - First Name:WALTER
Authorized Official - Middle Name:
Authorized Official - Last Name:TEJADA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:703-228-3130
Mailing Address - Street 1:1725 N GEORGE MASON DR
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON
Mailing Address - State:VA
Mailing Address - Zip Code:22205-3675
Mailing Address - Country:US
Mailing Address - Phone:703-228-5150
Mailing Address - Fax:
Practice Address - Street 1:1725 N GEORGE MASON DR
Practice Address - Street 2:
Practice Address - City:ARLINGTON
Practice Address - State:VA
Practice Address - Zip Code:22205-3675
Practice Address - Country:US
Practice Address - Phone:703-228-5150
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-10-16
Last Update Date:2008-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0001126240251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health