| Sandstone Care Virginia, Llc | |
|
11415 Isaac Newton Sq S Reston VA 20190-5005 | |
| (202) 935-2885 | |
| Not Available |
| Full Name | Sandstone Care Virginia, Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 11415 Isaac Newton Sq S, Reston, Virginia |
| Authorized Official Name and Position | Marcello La Rocca (EXECUTIVE 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: (720) 372-1490 | Sandstone Care Virginia, Llc 11415 Isaac Newton Sq S Reston VA 20190-5005 Ph: (202) 935-2885 |
| NPI Number | 1659993731 |
|---|---|
| Provider Enumeration Date | 05/12/2020 |
| Last Update Date | 05/12/2020 |
| Certification Date | 05/12/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659993731 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| 261QM0855X | Clinic/center - Adolescent And Children Mental Health | (* (Not Available)) | Secondary |
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