| Ri International | |
|
14554 Lee Rd Chantilly VA 20151-1775 | |
| (602) 650-1212 | |
| (602) 650-1616 |
| Full Name | Ri International |
|---|---|
| Speciality | Psychiatric Residential Treatment Facility |
| Location | 14554 Lee Rd, Chantilly, Virginia |
| Authorized Official Name and Position | Corina Ogaz (ASSOCIATE DIRECTOR, CREDENTIALING) |
| Authorized Official Contact | 6026363085 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ri International 2701 N 16th St Ste 316 Phoenix AZ 85006-1266 Ph: (602) 650-1212 | Ri International 14554 Lee Rd Chantilly VA 20151-1775 Ph: (602) 650-1212 |
| NPI Number | 1245853522 |
|---|---|
| Provider Enumeration Date | 05/21/2020 |
| Last Update Date | 10/11/2022 |
| Certification Date | 10/11/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245853522 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Secondary |
| 323P00000X | Psychiatric Residential Treatment Facility | (* (Not Available)) | Primary |
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