Provider Demographics
NPI:1720691876
Name:THE VILLAGE YOUTH & FAMILY CENTER, INC.
Entity Type:Organization
Organization Name:THE VILLAGE YOUTH & FAMILY CENTER, INC.
Other - Org Name:VIKARA VILLAGE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:HANNAH
Authorized Official - Middle Name:
Authorized Official - Last Name:DAVIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:240-324-8197
Mailing Address - Street 1:9466 GEORGIA AVE # 1193
Mailing Address - Street 2:
Mailing Address - City:SILVER SPRING
Mailing Address - State:MD
Mailing Address - Zip Code:20910-1456
Mailing Address - Country:US
Mailing Address - Phone:240-324-8197
Mailing Address - Fax:
Practice Address - Street 1:15800 CRABBS BRANCH WAY STE 300
Practice Address - Street 2:
Practice Address - City:ROCKVILLE
Practice Address - State:MD
Practice Address - Zip Code:20855-2685
Practice Address - Country:US
Practice Address - Phone:240-324-8197
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-08-28
Last Update Date:2020-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty
No251S00000XAgenciesCommunity/Behavioral HealthGroup - Single Specialty