| Transitions The Process Of Change Corporation Ii | |
|
2124 Jefferson Davis Hwy Ste 104 Stafford VA 22554-7264 | |
| (703) 862-3762 | |
| Not Available |
| Full Name | Transitions The Process Of Change Corporation Ii |
|---|---|
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 2124 Jefferson Davis Hwy Ste 104, Stafford, Virginia |
| Authorized Official Name and Position | Mayra Milagros Rosato (COO, CO-OWNER) |
| Authorized Official Contact | 7038623762 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Transitions The Process Of Change Corporation Ii 2215 Plank Rd # 328 Fredericksburg VA 22401-5226 Ph: (703) 862-3762 | Transitions The Process Of Change Corporation Ii 2124 Jefferson Davis Hwy Ste 104 Stafford VA 22554-7264 Ph: (703) 862-3762 |
| NPI Number | 1821751637 |
|---|---|
| Provider Enumeration Date | 10/19/2021 |
| Last Update Date | 10/22/2021 |
| Certification Date | 10/22/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821751637 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Primary |
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