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To The Moon Aba Pllc
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Alexandria, Virginia
NPI 1861149510

To The Moon Aba Pllc is a Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility based in Woodbridge, VA. To The Moon Aba Pllc practices in Alexandria, VA. The NPI Number for To The Moon Aba Pllc is 1861149510 and holds a License No. (Virginia).

The current practice location address for To The Moon Aba Pllc is 3445 Berkeley St Apt 242, Alexandria, VA and can be reached out via phone at 804-728-8882. You can also correspond with To The Moon Aba Pllc through the mailing address at 14497 POTOMAC MILLS RD # 1013, WOODBRIDGE, VA - 22192-6807 (mailing address contact number: 804-728-8882).

Location: 3445 Berkeley St Apt 242, Alexandria, VA, 22192-6807
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1861149510
Provider Name
To The Moon Aba Pllc
Credential
Provider Entity Type
Organization
Address
3445 Berkeley St Apt 242, Alexandria, VA, 22192-6807
Phone Number
804-728-8882
Fax Number
Provider Enumeration Date
03/02/2022
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
3445 Berkeley St Apt 242
City
Alexandria
State
Virginia
Zip
22302-1287
Phone Number
804-728-8882
Fax Number
person
Provider Business Mailing Address Details
Address
14497 Potomac Mills Rd # 1013
City
Woodbridge
State
Virginia
Zip
22192-6807
Phone Number
804-728-8882
Fax Number
person
Provider's Taxonomy Details 1
Type
Agencies
Classification
Community/Behavioral Health
Speciality
-
Taxonomy
251S00000X
License No.
()
Definition
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
person
Provider's Taxonomy Details 2
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Developmental Disabilities
Taxonomy
261QD1600X
License No.
()
Definition
An entity, facility, or distinct part of a facility providing comprehensive, multidiscipline diagnostic, treatment, therapy, training, and counseling services to children with congenital disorders that precipitate developmental delays and in many instances mental deficiencies (e.g., Cerebral Palsy, metabolic disorders, Sturge-Weber Syndrome, etc.).
person
Provider's Taxonomy Details 3
Type
Residential Treatment Facilities
Classification
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Speciality
-
Taxonomy
320900000X
License No.
()
Definition
A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities.
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