| Enabling Change Rebuilding Communities Each Counseling Services | |
|
10640 Main St. Suite 105 Fairfax VA 22030 | |
| (804) 742-2858 | |
| (240) 414-0800 |
| Full Name | Enabling Change Rebuilding Communities Each Counseling Services |
|---|---|
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 10640 Main St., Fairfax, Virginia |
| Authorized Official Name and Position | Erica E. Noble (CEO) |
| Authorized Official Contact | 4432196682 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Enabling Change Rebuilding Communities Each Counseling Services 9400 Grand Blvd Apt 1306 Upper Marlboro MD 20774-2646 Ph: (443) 219-6682 | Enabling Change Rebuilding Communities Each Counseling Services 10640 Main St. Suite 105 Fairfax VA 22030 Ph: (804) 742-2858 |
| NPI Number | 1134610991 |
|---|---|
| Provider Enumeration Date | 05/28/2018 |
| Last Update Date | 04/07/2021 |
| Certification Date | 04/07/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134610991 | NPI | - | NPPES |
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