| Organization Name: | NORTHWESTERN COMMUNITY SERVICES BOARD |
| NPI Number: | 1215930573 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | MILLARD F HALL (CHIEF EXECUTIVE OFFICER) |
| Mailing Address: | 209 W Criser Rd Ste 100 Front Royal |
| State: | VA US |
| Postal Code: | 226302360 |
| Phone Number: | 5406362931 |
| Fax Number: | 5406362933 |
| NPI Enumeration Date: | 05/31/2005 |
| NPI Last Update Date: | 03/18/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | VA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |