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Tysons Mental Health Center LLC

Clinic/Center, Mental Health (Including Community Mental Health Center) in Falls Church, VA. Organization (NPI-2).

NPI number1861983009
StatusActive
Last updated in NPPESMay 23, 2018

Details

NPI
1861983009
Entity type
Organization (NPI-2)
Legal business name
Tysons Mental Health Center LLC
Organization subpart
No
Enumeration date
May 23, 2018
Last updated
May 23, 2018

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center)––Yes

Practice location

450 West Broad Street
Suite 304
Falls Church, VA 22046-3318

Phone 703-270-5847 · Fax 703-270-5848

Mailing address

450 West Broad Street
Suite 304
Falls Church, VA 22046-3318

Phone 703-270-5847 · Fax 703-270-5848

Authorized official

Mehdi Ebrahimi Boroumand
Member/Manager
3013774626

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Other Mental Health Clinic/Center (Including Community Mental Health Center) providers in Falls Church, VA

All 10 Mental Health Clinic/Center (Including Community Mental Health Center) providers in Falls Church · All 4,923 providers in Falls Church

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