Provider Demographics
NPI:1942630710
Name:CENTER FOR ATTACHMENT & TRAUMA SERVICES, INC.
Entity Type:Organization
Organization Name:CENTER FOR ATTACHMENT & TRAUMA SERVICES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:TERESA
Authorized Official - Middle Name:VASQUEZ
Authorized Official - Last Name:LEAR
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:703-913-8563
Mailing Address - Street 1:8136 OLD KEENE MILL RD
Mailing Address - Street 2:A-302
Mailing Address - City:SPRINGFIELD
Mailing Address - State:VA
Mailing Address - Zip Code:22152-1850
Mailing Address - Country:US
Mailing Address - Phone:703-913-8563
Mailing Address - Fax:703-913-8565
Practice Address - Street 1:8136 OLD KEENE MILL RD
Practice Address - Street 2:A-302
Practice Address - City:SPRINGFIELD
Practice Address - State:VA
Practice Address - Zip Code:22152-1850
Practice Address - Country:US
Practice Address - Phone:703-913-8563
Practice Address - Fax:703-913-8565
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-11-15
Last Update Date:2015-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health