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Medical Management Of Va Llc
Substance Abuse Rehabilitation Facility in Fairfax, Virginia
NPI 1750612495

Medical Management Of Va Llc is a Substance Abuse Rehabilitation Facility based in Fairfax, VA. Medical Management Of Va Llc practices in Fairfax, VA. The NPI Number for Medical Management Of Va Llc is 1750612495 and holds a License No. 42902001 (Virginia).

The current practice location address for Medical Management Of Va Llc is 10640 Main St, Fairfax, VA and can be reached out via phone at 954-587-7771 and via fax at 954-208-5770. You can also correspond with Medical Management Of Va Llc through the mailing address at 11230 WAPLES MILL RD, FAIRFAX, VA - 22030-6087 (mailing address contact number: 954-587-7771).

Location: 10640 Main St, Fairfax, VA, 22030-6087
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1750612495
Provider Name
Medical Management Of Va Llc
Credential
Provider Entity Type
Organization
Address
10640 Main St, Fairfax, VA, 22030-6087
Phone Number
954-587-7771
Fax Number
954-208-5770
Provider Enumeration Date
01/20/2010
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
10640 Main St
City
Fairfax
State
Virginia
Zip
22030-3821
Phone Number
954-587-7771
Fax Number
954-208-5770
person
Provider Business Mailing Address Details
Address
10640 Main St
City
Fairfax
State
Virginia
Zip
22030-3821
Phone Number
954-587-7771
Fax Number
954-208-5770
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Substance Abuse Rehabilitation Facility
Speciality
-
Taxonomy
324500000X
License No.
42902001 (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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