TYSONS MENTAL HEALTH CENTER LLC NPI 1861983009

NPI Information

TYSONS MENTAL HEALTH CENTER LLC is a mental health (including community mental health center) clinic center in Falls Church, VA. TYSONS MENTAL HEALTH CENTER LLC NPI is 1861983009. The provider is registered as an organization entity type.

The provider's business location address is:

450 WEST BROAD STREET
SUITE 304
FALLS CHURCH, VA
ZIP 22046-318
Phone: (703) 270-5847
Fax: (703) 270-5848

The provider's authorized official is Mehdi Ebrahimi Boroumand .
The authorized official title is Member/manager and has the following contact phone number (301) 377-4626.

The enumeration date for this NPI number is 5/23/2018 and was last updated on 5/23/2018.

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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