Virginia Clinical Therapy Center | |
10805 Main St Ste 800 Fairfax VA 22030-4729 | |
(571) 446-7618 | |
Not Available |
Full Name | Virginia Clinical Therapy Center |
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Speciality | Community/behavioral Health |
Location | 10805 Main St Ste 800, Fairfax, Virginia |
Authorized Official Name and Position | Peter Whang (DIRECTOR/CEO) |
Authorized Official Contact | 5714467618 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Virginia Clinical Therapy Center 10805 Main Street Suite 800 Fairfax VA 22030 Ph: (571) 446-7618 | Virginia Clinical Therapy Center 10805 Main St Ste 800 Fairfax VA 22030-4729 Ph: (571) 446-7618 |
NPI Number | 1376933028 |
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Provider Enumeration Date | 02/03/2015 |
Last Update Date | 02/10/2017 |
Identifier | Type | State | Issuer |
---|---|---|---|
1376933028 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | (Virginia) | Primary |
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