Organization
VIRGINIA SUBSTANCE TREATMENT SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SAMAR LIDA TEHRANI LSATP (CEO)
(571) 354-5971
Entity
Organization
Contact information
Practice address
1880 HOWARD AVE STE 200, VIENNA, VA 22182-2611
(571) 354-5971
Mailing address
2070 CHAIN BRIDGE RD STE 150, VIENNA, VA 22182-2598
(571) 354-5971
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
—
Other
Enumeration date
07/12/2023
Last updated
09/16/2024
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