Provider Demographics
NPI: | 1982766341 |
---|---|
Name: | GOOD BEGINNINGS |
Entity type: | Organization |
Organization Name: | GOOD BEGINNINGS |
Other - Org Name: | |
Other - Org Type: | |
Authorized Official - Title/Position: | DIRECTOR |
Authorized Official - Prefix: | MS |
Authorized Official - First Name: | JANE |
Authorized Official - Middle Name: | K |
Authorized Official - Last Name: | HULL |
Authorized Official - Suffix: | |
Authorized Official - Credentials: | |
Authorized Official - Phone: | 703-536-1817 |
Mailing Address - Street 1: | 6231 LEESBURG PIKE |
Mailing Address - Street 2: | SUITE L-1 |
Mailing Address - City: | FALLS CHURCH |
Mailing Address - State: | VA |
Mailing Address - Zip Code: | 22044-2102 |
Mailing Address - Country: | US |
Mailing Address - Phone: | 703-536-1817 |
Mailing Address - Fax: | 703-536-5677 |
Practice Address - Street 1: | 6231 LEESBURG PIKE |
Practice Address - Street 2: | SUITE L-1 |
Practice Address - City: | FALLS CHURCH |
Practice Address - State: | VA |
Practice Address - Zip Code: | 22044-2102 |
Practice Address - Country: | US |
Practice Address - Phone: | 703-536-1817 |
Practice Address - Fax: | 703-536-5677 |
EIN: | <UNAVAIL> |
Is Organization Subpart?: | No |
Parent Organization LBN: | |
Parent Organization TIN: | |
Enumeration Date: | 2006-12-14 |
Last Update Date: | 2020-08-22 |
Deactivation Date: | |
Deactivation Code: | |
Reactivation Date: |
Provider Licenses
State | License ID | Taxonomies |
---|---|---|
VA | 2305001685 | 174400000X |
Provider Taxonomies
Primary? | Code | Type | Classification | Specialization | Group |
---|---|---|---|---|---|
Yes | 174400000X | Other Service Providers | Specialist | Group - Multi-Specialty |