Organization · NPI-2
Faith And Trust Psychiatric Living
Clinic/Center, Mental Health (Including Community Mental Health Center) · Vienna, VA
NPI number1447130679
StatusActive
Last updated in NPPESNov 2, 2025
Details
- NPI
- 1447130679
- Entity type
- Organization (NPI-2)
- Legal business name
- Faith And Trust Psychiatric Living
- Organization subpart
- No
- Enumeration date
- Sep 8, 2025
- Certification date
- Nov 2, 2025
- Last updated
- Nov 2, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QM0801X | Clinic/Center, Mental Health (Including Community Mental Health Center) | – | – | Yes |
Practice location
1964 Gallows Rd Ste 310Vienna, VA 22182-3814
Phone 571-762-9099
Mailing address
1964 Gallows Rd Ste 310Vienna, VA 22182-3814
Phone 571-762-9099
Authorized official
Eveline Fohtung
Owner
5717629099
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