Individual provider · Type 1 NPI
Darryl Glen Funk, LSATP
Substance Abuse Rehabilitation Facility · Arlington, VA
Practice location
521 N Quincy St
Arlington, VA 22203-2136
Fax (703) 841-2316
Mailing address
521 N Quincy St.
Arlington, VA 22203-1785
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Substance Abuse Rehabilitation Facility Primary | 324500000X | 0718000027 (VA) |
| Substance Abuse Rehabilitation Facility | 324500000X | None listed |
Substance Abuse Rehabilitation Facility: A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.
3 other providers at this address
About NPI 1568612679
Darryl Glen Funk, LSATP's National Provider Identifier is 1568612679, issued on Sep 25, 2008. The primary taxonomy on file is Substance Abuse Rehabilitation Facility (324500000X), and the practice location is in Arlington, VA. The record was last updated on Sep 25, 2008.