MEDICAL MANAGEMENT OF VA LLC NPI 1750612495

NPI Information

MEDICAL MANAGEMENT OF VA LLC is a substance abuse rehabilitation facility in Fairfax, VA. The provider is 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. MEDICAL MANAGEMENT OF VA LLC NPI is 1750612495. The provider is registered as an organization entity type.
The provider Is Doing Business As Horizons Of Hope.

The provider's business location address is:

10640 MAIN ST
SUITE 300
FAIRFAX, VA
ZIP 22030-821
Phone: (954) 587-7771
Fax: (954) 208-5770

The provider's authorized official is Peter Ewens .
The authorized official title is Ceo and has the following contact phone number (954) 587-7771.

The enumeration date for this NPI number is 1/20/2010 and was last updated on 1/20/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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