Provider Demographics
NPI:1447205927
Name:HARTWOOD FOUNDATION, INC.
Entity Type:Organization
Organization Name:HARTWOOD FOUNDATION, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:ANDREW
Authorized Official - Middle Name:R
Authorized Official - Last Name:GYOURKO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:703-914-3901
Mailing Address - Street 1:6800 VERSAR CTR DR. SUITE 401
Mailing Address - Street 2:
Mailing Address - City:SPRINGFIELD
Mailing Address - State:VA
Mailing Address - Zip Code:22151
Mailing Address - Country:US
Mailing Address - Phone:703-914-3901
Mailing Address - Fax:703-914-3902
Practice Address - Street 1:6800 VERSAR CTR DR. SUITE 401
Practice Address - Street 2:
Practice Address - City:SPRINGFIELD
Practice Address - State:VA
Practice Address - Zip Code:22151
Practice Address - Country:US
Practice Address - Phone:703-914-3901
Practice Address - Fax:703-914-3902
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-23
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA035320900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320900000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities