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Organization
WELLNESS PROGRAM, LLC
Active
Organization
WELLNESS PROGRAM, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALOK KUMAR MD (MEDICAL DIRECTOR)
(703) 865-8686
Entity
Organization
Contact information
Practice address
3930 PENDER DR STE 350, FAIRFAX, VA 22030-0989
(703) 865-8686
Mailing address
PO BOX 220403, CHANTILLY, VA 20153-0403
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
2794
VA
Other
Enumeration date
12/02/2015
Last updated
12/02/2015
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