| A Mission For Michael | |
|
2900 S Quincy St Ste 810 Arlington VA 22206-2233 | |
| (703) 348-9746 | |
| (949) 579-2876 |
| Full Name | A Mission For Michael |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 2900 S Quincy St Ste 810, Arlington, Virginia |
| Authorized Official Name and Position | Jeffrey Farbman (DIRECTOR OF BILLING) |
| Authorized Official Contact | 9493012863 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| A Mission For Michael 30310 Rancho Viejo Rd San Juan Capistrano CA 92675-1576 Ph: () - | A Mission For Michael 2900 S Quincy St Ste 810 Arlington VA 22206-2233 Ph: (703) 348-9746 |
| NPI Number | 1285407148 |
|---|---|
| Provider Enumeration Date | 11/02/2023 |
| Last Update Date | 04/29/2024 |
| Certification Date | 04/29/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285407148 | NPI | - | NPPES |
| 578314 | Other | THE JOINT COMMISSION | |
| 4531 | Other | VA | DEPARTMENT OF BEHAVIORAL HEALTH AND DEVELOPMENTAL SERVICES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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