| 1st Option Care Residential,llc | |
|
3725 Fettler Park Dr Dumfries VA 22025-2048 | |
| (703) 659-9204 | |
| Not Available |
| Full Name | 1st Option Care Residential,llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 3725 Fettler Park Dr, Dumfries, Virginia |
| Authorized Official Name and Position | Cassandra Coleman (GENERAL MANAGER) |
| Authorized Official Contact | 7036599204 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| 1st Option Care Residential,llc 3725 Fettler Park Dr Dumfries VA 22025-2048 Ph: (703) 659-9204 | 1st Option Care Residential,llc 3725 Fettler Park Dr Dumfries VA 22025-2048 Ph: (703) 659-9204 |
| NPI Number | 1982483210 |
|---|---|
| Provider Enumeration Date | 09/26/2023 |
| Last Update Date | 09/26/2023 |
| Certification Date | 09/26/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982483210 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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