Organization
VIRGINIA MISSION HEALTH ACQUISITION LLC
Active
Other names
A Mission for Michael
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFREY FARBMAN (DIRECTOR OF BILLING)
(949) 301-2863
Entity
Organization
Contact information
Practice address
10305 BROWNS MILL RD, VIENNA, VA 22182-1508
(833) 589-5150
(949) 579-2876
Mailing address
30310 RANCHO VIEJO RD, SAN JUAN CAPISTRANO, CA 92675-1576
(949) 579-2876
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4531-01-003
DEPARTMENT OF BEHAVIORAL HEALTH AND DEVELOPMENTAL SERVICES
VA
01
—
578314
THE JOINT COMMISSION
—
Enumeration date
06/08/2023
Last updated
07/11/2025
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