Organization
ALCOHOL AND DRUG SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PEDRO AUGUSTO AYBAR LSATP (SENIOR CLINICIAN)
(703) 533-0180
Entity
Organization
Contact information
Practice address
6245 LEESBURG PIKE, SUITE 440, FALLS CHURCH, VA 22044-2106
(703) 533-0180
(703) 532-5809
Mailing address
6245 LEESBURG PIKE, SUITE 440, FALLS CHURCH, VA 22044-2106
(703) 533-0180
(703) 532-5809
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
0718000136
VA
Other
Enumeration date
01/09/2007
Last updated
06/13/2008
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