Organization
TREE OF LIFE FAMILY SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ZAMIRA KEATING QMHP (CHIEF FINANCIAL OFFICER)
(347) 466-1587
Entity
Organization
Contact information
Practice address
42273 CANARY GRASS SQ, ALDIE, VA 20105-5706
(703) 798-0767
Mailing address
42273 CANARY GRASS SQ, ALDIE, VA 20105-5706
(703) 798-0767
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
6633310
DE
Other
Enumeration date
12/07/2017
Last updated
07/09/2020
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