Organization
SALUS VITA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. GLORIA SAEZ LICSW/ LCSW (CEO/ LEAD THERAPIST)
(703) 828-7159
Entity
Organization
Contact information
Practice address
505 WYTHE ST, ALEXANDRIA, VA 22314-1917
(703) 828-7159
Mailing address
505 WYTHE ST, ALEXANDRIA, VA 22314-1917
(703) 828-7159
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
0904009738
VA
Other
Enumeration date
07/02/2017
Last updated
03/22/2023
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