| Forge Health | |
|
11730 Rockaway Ln Fairfax VA 22030-7940 | |
| (703) 570-5300 | |
| Not Available |
| Full Name | Forge Health |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 11730 Rockaway Ln, Fairfax, Virginia |
| Authorized Official Name and Position | Daniel Lenzo (VP) |
| Authorized Official Contact | 6467096883 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Forge Health 10 Bank St Ste 830 White Plains NY 10606-1952 Ph: (646) 709-6883 | Forge Health 11730 Rockaway Ln Fairfax VA 22030-7940 Ph: (703) 570-5300 |
| NPI Number | 1023770047 |
|---|---|
| Provider Enumeration Date | 10/07/2021 |
| Last Update Date | 09/20/2024 |
| Certification Date | 09/20/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023770047 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
| 261QR0405X | Clinic/center - Rehabilitation, Substance Use Disorder | (* (Not Available)) | Secondary |
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