| Wrhouston Llc | |
|
1744 Atoga Ave Mc Lean VA 22101-4201 | |
| (973) 723-2837 | |
| Not Available |
| Full Name | Wrhouston Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 1744 Atoga Ave, Mc Lean, Virginia |
| Authorized Official Name and Position | Whitney Reigel Houston (OWNER, PROVIDER) |
| Authorized Official Contact | 9737232837 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Wrhouston Llc 6841 Elm St Unit 574 Mc Lean VA 22101-8021 Ph: (973) 723-2837 | Wrhouston Llc 1744 Atoga Ave Mc Lean VA 22101-4201 Ph: (973) 723-2837 |
| NPI Number | 1194434472 |
|---|---|
| Provider Enumeration Date | 11/16/2022 |
| Last Update Date | 11/16/2022 |
| Certification Date | 11/16/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194434472 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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