| The Corvus Center For Mental Health Services | |
|
11915 Lilita Lane Clifton VA 20124 | |
| (703) 424-7647 | |
| (703) 424-7647 |
| Full Name | The Corvus Center For Mental Health Services |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 11915 Lilita Lane, Clifton, Virginia |
| Authorized Official Name and Position | Sarah Mulhaul (OWNER) |
| Authorized Official Contact | 9737272745 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Corvus Center For Mental Health Services Po Box 244 Clifton VA 20124-0244 Ph: (973) 727-2745 | The Corvus Center For Mental Health Services 11915 Lilita Lane Clifton VA 20124 Ph: (703) 424-7647 |
| NPI Number | 1336764737 |
|---|---|
| Provider Enumeration Date | 06/11/2020 |
| Last Update Date | 12/10/2020 |
| Certification Date | 10/15/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336764737 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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