| The Dorr Center, Llc | |
|
11870 Sunrise Valley Dr 200 Reston VA 20191-3304 | |
| (703) 391-7380 | |
| (703) 391-7381 |
| Full Name | The Dorr Center, Llc |
|---|---|
| Speciality | Social Worker |
| Location | 11870 Sunrise Valley Dr, Reston, Virginia |
| Authorized Official Name and Position | Gretchen Dorr Horst (DIRECTOR/OWNER) |
| Authorized Official Contact | 7033917380 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| The Dorr Center, Llc 11870 Sunrise Valley Dr 200 Reston VA 20191-3304 Ph: (703) 391-7380 | The Dorr Center, Llc 11870 Sunrise Valley Dr 200 Reston VA 20191-3304 Ph: (703) 391-7380 |
| NPI Number | 1467549188 |
|---|---|
| Provider Enumeration Date | 10/06/2006 |
| Last Update Date | 11/27/2007 |
| Medicare PECOS PAC ID | 6305825803 |
|---|---|
| Medicare Enrollment ID | O20040727001627 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467549188 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 0904001567 (Virginia) | Primary |
| Provider Name | Gretchen D Horst |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1104913821 PECOS PAC ID: 5395715122 Enrollment ID: I20040729000312 |
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