Provider Demographics
NPI:1740426543
Name:THE ARC OF NORTHERN VIRGINIA
Entity Type:Organization
Organization Name:THE ARC OF NORTHERN VIRGINIA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF PROGRAMS AND SERVICES
Authorized Official - Prefix:
Authorized Official - First Name:CARRIE
Authorized Official - Middle Name:
Authorized Official - Last Name:FREY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:703-532-3214
Mailing Address - Street 1:98 N WASHINGTON ST
Mailing Address - Street 2:
Mailing Address - City:FALLS CHURCH
Mailing Address - State:VA
Mailing Address - Zip Code:22046-4514
Mailing Address - Country:US
Mailing Address - Phone:703-532-3214
Mailing Address - Fax:703-533-3398
Practice Address - Street 1:98 N WASHINGTON ST
Practice Address - Street 2:
Practice Address - City:FALLS CHURCH
Practice Address - State:VA
Practice Address - Zip Code:22046-4514
Practice Address - Country:US
Practice Address - Phone:703-532-3214
Practice Address - Fax:703-533-3398
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-12-29
Last Update Date:2008-12-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA0087438195OtherAPI
VA0100303079OtherAPI