Organization · Type 2 NPI
Medical Management of Va LLC
Substance Abuse Rehabilitation Facility · Fairfax, VA
Practice location
10640 Main St, Suite 300
Fairfax, VA 22030-3821
Fax (954) 208-5770
Mailing address
11230 Waples Mill Rd, Suite 125
Fairfax, VA 22030-6087
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Substance Abuse Rehabilitation Facility Primary | 324500000X | 42902001 (VA) |
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
Other substance abuse rehabilitation facility providers in Fairfax
About NPI 1750612495
Medical Management of Va LLC's National Provider Identifier is 1750612495, issued on Jan 20, 2010. The primary taxonomy on file is Substance Abuse Rehabilitation Facility (324500000X), and the practice location is in Fairfax, VA. The record was last updated on Jan 20, 2010.