Provider Demographics
NPI:1679850705
Name:FAMILY PRIORITY
Entity Type:Organization
Organization Name:FAMILY PRIORITY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DORECTOR
Authorized Official - Prefix:
Authorized Official - First Name:ANNE
Authorized Official - Middle Name:
Authorized Official - Last Name:STOCKBRIDGE54
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:703-537-0700
Mailing Address - Street 1:11350 RANDOM HILLS RD STE 240
Mailing Address - Street 2:
Mailing Address - City:FAIRFAX
Mailing Address - State:VA
Mailing Address - Zip Code:22030-6044
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1317 JAMESTOWN RD
Practice Address - Street 2:SUITE 102B
Practice Address - City:WILLIAMSBURG
Practice Address - State:VA
Practice Address - Zip Code:23185
Practice Address - Country:US
Practice Address - Phone:757-645-3860
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-11-03
Last Update Date:2011-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA469251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health