| The Recovery Center Of Northern Virginia | |
|
425 Carlisle Dr Ste B Herndon VA 20170-5618 | |
| (703) 464-5122 | |
| (703) 464-5822 |
| Full Name | The Recovery Center Of Northern Virginia |
|---|---|
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 425 Carlisle Dr Ste B, Herndon, Virginia |
| Authorized Official Name and Position | Desi Farren (DIRECTOR) |
| Authorized Official Contact | 7034645122 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Recovery Center Of Northern Virginia 425 Carlisle Dr Ste B Herndon VA 20170-5618 Ph: (703) 464-5122 | The Recovery Center Of Northern Virginia 425 Carlisle Dr Ste B Herndon VA 20170-5618 Ph: (703) 464-5122 |
| NPI Number | 1629348099 |
|---|---|
| Provider Enumeration Date | 01/03/2012 |
| Last Update Date | 06/17/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629348099 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 356 (Virginia) | Primary |
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