Provider Demographics
NPI:1760693808
Name:ASHFORD CENTER LTD
Entity Type:Organization
Organization Name:ASHFORD CENTER LTD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DOLORES
Authorized Official - Middle Name:S
Authorized Official - Last Name:PAULSON
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:703-790-0786
Mailing Address - Street 1:7643 LEESBURG PIKE
Mailing Address - Street 2:
Mailing Address - City:FALLS CHURCH
Mailing Address - State:VA
Mailing Address - Zip Code:22043-2530
Mailing Address - Country:US
Mailing Address - Phone:703-790-0786
Mailing Address - Fax:703-790-9257
Practice Address - Street 1:7643 LEESBURG PIKE
Practice Address - Street 2:
Practice Address - City:FALLS CHURCH
Practice Address - State:VA
Practice Address - Zip Code:22043-2530
Practice Address - Country:US
Practice Address - Phone:703-790-0786
Practice Address - Fax:703-790-9257
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-24
Last Update Date:2010-06-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
DC862660Medicare ID - Type Unspecified