| Cavalier Behavioral Health, Llc | |
|
25887 Sycamore Grove Pl Aldie VA 20105-5814 | |
| (301) 979-8300 | |
| Not Available |
| Full Name | Cavalier Behavioral Health, Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 25887 Sycamore Grove Pl, Aldie, Virginia |
| Authorized Official Name and Position | Gwendolyn Lindsey (MEMBER) |
| Authorized Official Contact | 3019798300 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Cavalier Behavioral Health, Llc 25887 Sycamore Grove Pl Aldie VA 20105-5814 Ph: (301) 979-8300 | Cavalier Behavioral Health, Llc 25887 Sycamore Grove Pl Aldie VA 20105-5814 Ph: (301) 979-8300 |
| NPI Number | 1669063293 |
|---|---|
| Provider Enumeration Date | 01/27/2021 |
| Last Update Date | 01/27/2021 |
| Certification Date | 01/27/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669063293 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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