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Ethos Foundation Incorporated

Clinic/Center in Alexandria, VA. Organization (NPI-2).

NPI number1427488014
StatusActive
Last updated in NPPESNov 18, 2013

Details

NPI
1427488014
Entity type
Organization (NPI-2)
Legal business name
Ethos Foundation Incorporated
Organization subpart
No
Enumeration date
Nov 18, 2013
Last updated
Nov 18, 2013

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
261Q00000X Clinic/Center145VAYes

Practice location

312 S Washington St
3a
Alexandria, VA 22314-3684

Phone 703-535-6800 · Fax 703-535-6999

Mailing address

312 S Washington St
3a
Alexandria, VA 22314-3684

Phone 703-535-6800 · Fax 703-535-6999

Authorized official

Philip Ignatius Brennan
President
7035356800

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