Organization
AJK TRANQUIL SPACE
Active
Other names
Serenity health and wellbeing
Organization subpart
No
Provider details
NPI number
Authorized official
MR. YOUSSOUF KOUYATE (OFFICE MANAGER)
(202) 207-4885
Entity
Organization
Contact information
Practice address
1376 OLD BRIDGE RD STE 102, WOODBRIDGE, VA 22192-2766
(202) 207-4885
Mailing address
1376 OLD BRIDGE RD, WOODBRIDGE, VA 22192-2762
(202) 207-4885
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
01/26/2024
Last updated
01/26/2024
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