| Vienna Behavioral Health | |
|
421 Church St Ne Suite B Vienna VA 22180-4708 | |
| (703) 865-0003 | |
| Not Available |
| Full Name | Vienna Behavioral Health |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 421 Church St Ne, Vienna, Virginia |
| Authorized Official Name and Position | Mohammad A Ansari (AUTHORIZED OFFICIAL) |
| Authorized Official Contact | 7038650003 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Vienna Behavioral Health 421 Church St Ne Suite B Vienna VA 22180-4708 Ph: (703) 865-0003 | Vienna Behavioral Health 421 Church St Ne Suite B Vienna VA 22180-4708 Ph: (703) 865-0003 |
| NPI Number | 1598166498 |
|---|---|
| Provider Enumeration Date | 09/10/2014 |
| Last Update Date | 09/10/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598166498 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 0101251769 (Virginia) | Primary |
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