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Darryl Glen Funk, LSATP
Substance Abuse Rehabilitation Facility in Arlington, Virginia
NPI 1568612679

Darryl Glen Funk is a Substance Abuse Rehabilitation Facility based in Arlington, VA. Darryl Glen Funk practices in Arlington, VA and has the professional credentials of LSATP. The NPI Number for Darryl Glen Funk is 1568612679 and holds a License No. 0718000027 (Virginia).

The current practice location address for Darryl Glen Funk is 521 N Quincy St, Arlington, VA and can be reached out via phone at 703-841-0703 and via fax at 703-841-2316.

Location: 521 N Quincy St, Arlington, VA, 22203-1785
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1568612679
Provider Name
Darryl Glen Funk
Credential
LSATP
Provider Entity Type
Individual
Gender
Male
Address
521 N Quincy St, Arlington, VA, 22203-1785
Phone Number
703-841-0703
Fax Number
703-841-2316
Provider Enumeration Date
09/25/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1558415968 05 VA
institution
Provider Business Practice Location Address Details
Address
521 N Quincy St
City
Arlington
State
Virginia
Zip
22203-2136
Phone Number
703-841-0703
Fax Number
703-841-2316
person
Provider Business Mailing Address Details
Address
521 N Quincy St
City
Arlington
State
Virginia
Zip
22203-2136
Phone Number
703-841-0703
Fax Number
703-841-2316
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Substance Abuse Rehabilitation Facility
Speciality
-
Taxonomy
324500000X
License No.
0718000027 (Virginia)
Definition
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.
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