Breakthru Services | |
9720 Capital Ct Ste 400 Manassas VA 20110-2052 | |
(571) 232-3691 | |
(703) 794-7359 |
Full Name | Breakthru Services |
---|---|
Speciality | Community/behavioral Health |
Location | 9720 Capital Ct Ste 400, Manassas, Virginia |
Authorized Official Name and Position | Tiffini Monet Chamblin (OWNER) |
Authorized Official Contact | 5714699048 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Breakthru Services 9720 Capital Ct Ste 404 Manassas VA 20110-2052 Ph: (571) 232-3691 | Breakthru Services 9720 Capital Ct Ste 400 Manassas VA 20110-2052 Ph: (571) 232-3691 |
NPI Number | 1386035079 |
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Provider Enumeration Date | 02/17/2015 |
Last Update Date | 04/29/2024 |
Certification Date | 07/27/2021 |
Identifier | Type | State | Issuer |
---|---|---|---|
1386035079 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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