Organization
INNOVATIVE BEHAVIOR TREATMENT CENTERS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANIEL OFEI (DIRECTOR)
(703) 914-0466
Entity
Organization
Contact information
Practice address
6800 VERSAR CENTER DRIVE, SUITE 402B, SPRINGFIELD, VA 22151
(703) 914-0466
(703) 914-0498
Mailing address
6800 VERSAR CENTER DRIVE, SUITE 402B, SPRINGFIELD, VA 22151
(703) 914-0466
(703) 914-0498
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
547
VA
Other
Enumeration date
10/03/2006
Last updated
08/22/2020
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