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Inova Kellar Center
Substance Use Disorder Rehabilitation Clinic/Center in Fairfax, Virginia
NPI 1497808679

Inova Kellar Center is a Substance Use Disorder Rehabilitation Clinic/Center based in Fairfax, VA and is specialized in Rehabilitation, Substance Use Disorder. Inova Kellar Center practices in Fairfax, VA. The NPI Number for Inova Kellar Center is 1497808679 and holds a License No. 033 (Virginia).

The current practice location address for Inova Kellar Center is 11204 Waples Mill Rd, Fairfax, VA and can be reached out via phone at 703-218-8500 and via fax at 703-359-0463.

Location: 11204 Waples Mill Rd, Fairfax, VA, 22038-1110
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1497808679
Provider Name
Inova Kellar Center
Credential
Provider Entity Type
Organization
Address
11204 Waples Mill Rd, Fairfax, VA, 22038-1110
Phone Number
703-218-8500
Fax Number
703-359-0463
Provider Enumeration Date
01/19/2007
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
4943902 05 VA
institution
Provider Business Practice Location Address Details
Address
11204 Waples Mill Rd
City
Fairfax
State
Virginia
Zip
22030-6048
Phone Number
703-218-8500
Fax Number
703-359-0463
person
Provider Business Mailing Address Details
Address
11204 Waples Mill Rd
City
Fairfax
State
Virginia
Zip
22030-6048
Phone Number
703-218-8500
Fax Number
703-359-0463
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Adolescent and Children Mental Health
Taxonomy
261QM0855X
License No.
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Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training.
person
Provider's Taxonomy Details 2
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Rehabilitation, Substance Use Disorder
Taxonomy
261QR0405X
License No.
033 (Virginia)
Definition
Definition to come...
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