Organization
ANGELS OF HOPE MENTAL HEALTH CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. EMILIO MARTIN RODRIGUEZ (COO)
(703) 822-1774
Entity
Organization
Contact information
Practice address
4736 KIRKDALE DR, WOODBRIDGE, VA 22193-4840
(703) 680-9527
(703) 680-9527
Mailing address
4736 KIRKDALE DR, WOODBRIDGE, VA 22193-4840
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
1423-05-001
VA
Other
Enumeration date
09/10/2010
Last updated
09/10/2010
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