OrganizationActive
Bellwether Behavioral of Virginia, LLC
NPI 1366810392 · Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Fairfax, VA
Provider details
- NPI number
- 1366810392
- Entity type
- Organization
- Primary specialty
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityResidential Treatment Facilities
- Parent organization
- Gi Advo Opco, LLC
- Organization subpart
- Yes
- Authorized official
- Kathleen Shea, Chief Financial Officer(302) 365-8050
- License
- 0701006290 (VA)
Specialties & taxonomies
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityPrimary320900000XLicense 2666 (VA)
Residential Treatment Facilities
Agencies
Practice location
9932 Main St
Fairfax, VA 22031-3901
Phone: (302) 365-8050
Approximate (ZIP-level) locationGet directions
Mailing address
2520 Wrangle Hill Rd
Bear, DE 19701-3849
Registry dates
- Enumerated
- 2015-09-08
- Last updated
- 2017-08-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.