| Sandstone Care Virginia, Llc | |
|
15100 Enterprise Ct Chantilly VA 20151-1228 | |
| (703) 686-5753 | |
| Not Available |
| Full Name | Sandstone Care Virginia, Llc |
|---|---|
| Speciality | Substance Abuse Rehabilitation Facility |
| Location | 15100 Enterprise Ct, Chantilly, Virginia |
| Authorized Official Name and Position | Marcello La Rocca (DIRECTOR) |
| Authorized Official Contact | 7203721490 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sandstone Care Virginia, Llc 7555 E Hampden Ave Ste 103 Denver CO 80231-4832 Ph: (888) 850-1890 | Sandstone Care Virginia, Llc 15100 Enterprise Ct Chantilly VA 20151-1228 Ph: (703) 686-5753 |
| NPI Number | 1518671486 |
|---|---|
| Provider Enumeration Date | 01/05/2023 |
| Last Update Date | 01/05/2023 |
| Certification Date | 01/05/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518671486 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Secondary |
| 324500000X | Substance Abuse Rehabilitation Facility | (* (Not Available)) | Primary |
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