Provider Demographics
NPI:1265225320
Name:VICTORIA TRANSCULTURAL CLINICAL CENTER
Entity type:Organization
Organization Name:VICTORIA TRANSCULTURAL CLINICAL CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SYSTEMS ADMIN
Authorized Official - Prefix:
Authorized Official - First Name:MATTHEW
Authorized Official - Middle Name:
Authorized Official - Last Name:COOK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:703-268-0429
Mailing Address - Street 1:10565 FAIRFAX BLVD STE 300
Mailing Address - Street 2:
Mailing Address - City:FAIRFAX
Mailing Address - State:VA
Mailing Address - Zip Code:22030-3104
Mailing Address - Country:US
Mailing Address - Phone:703-218-6599
Mailing Address - Fax:
Practice Address - Street 1:10565 FAIRFAX BLVD STE 300
Practice Address - Street 2:
Practice Address - City:FAIRFAX
Practice Address - State:VA
Practice Address - Zip Code:22030-3104
Practice Address - Country:US
Practice Address - Phone:703-218-6599
Practice Address - Fax:703-890-7167
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-05-22
Last Update Date:2025-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior TechnicianGroup - Single Specialty