Organization
FAITH AND TRUST PSYCHIATRIC LIVING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. EVELINE FOHTUNG NP (OWNER)
(571) 762-9099
Entity
Organization
Contact information
Practice address
1964 GALLOWS RD STE 310, VIENNA, VA 22182-3814
(571) 762-9099
Mailing address
1964 GALLOWS RD STE 310, VIENNA, VA 22182-3814
(571) 762-9099
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
09/08/2025
Last updated
11/02/2025
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