| Wellness Program, Llc | |
|
3930 Pender Dr Ste 350 Fairfax VA 22030-0989 | |
| (703) 865-8686 | |
| Not Available |
| Full Name | Wellness Program, Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 3930 Pender Dr Ste 350, Fairfax, Virginia |
| Authorized Official Name and Position | Alok Kumar (MEDICAL DIRECTOR) |
| Authorized Official Contact | 7038658686 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Wellness Program, Llc Po Box 220403 Chantilly VA 20153-0403 Ph: () - | Wellness Program, Llc 3930 Pender Dr Ste 350 Fairfax VA 22030-0989 Ph: (703) 865-8686 |
| NPI Number | 1376918318 |
|---|---|
| Provider Enumeration Date | 12/02/2015 |
| Last Update Date | 12/02/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376918318 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | 2794 (Virginia) | Primary |
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