Organization · Type 2 NPI

Wellness Program, LLC

Mental Health Clinic/Center (Including Community Mental Health Center) · Fairfax, VA

NPI number 1376918318 Active

Practice location

3930 Pender Dr Ste 350
Fairfax, VA 22030-0989

Mailing address

PO Box 220403
Chantilly, VA 20153-0403

Specialties and licenses

TaxonomyCodeLicense
Mental Health Clinic/Center (Including Community Mental Health Center) Primary 261QM0801X2794 (VA)

Mental Health Clinic/Center (Including Community Mental Health Center): Definition to come...

16 other providers at this address

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About NPI 1376918318

Wellness Program, LLC's National Provider Identifier is 1376918318, issued on Dec 2, 2015. The primary taxonomy on file is Mental Health Clinic/Center (Including Community Mental Health Center) (261QM0801X), and the practice location is in Fairfax, VA. The record was last updated on Dec 2, 2015.