| Fmtc | |
|
7008 Little River Tpke Ste G Annandale VA 22003-3234 | |
| (703) 333-3113 | |
| (703) 333-3116 |
| Full Name | Fmtc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 7008 Little River Tpke Ste G, Annandale, Virginia |
| Authorized Official Name and Position | Carol Mcclelland (ASSISTANT PROGRAM DIRECTOR) |
| Authorized Official Contact | 7033333113 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Fmtc 7008 Little River Tpke Ste G Annandale VA 22003-3234 Ph: (703) 333-3113 | Fmtc 7008 Little River Tpke Ste G Annandale VA 22003-3234 Ph: (703) 333-3113 |
| NPI Number | 1417107772 |
|---|---|
| Provider Enumeration Date | 09/23/2008 |
| Last Update Date | 09/23/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417107772 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 089 (Virginia) | Primary |
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