Organization
NORTHERN VIRGINIA MENTAL HEALTH INSTITUTE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARY LOVE RPH (DIRECTOR OF PHARMACY)
(703) 207-7218
Entity
Organization
Contact information
Practice address
3302 GALLOWS RD, FALLS CHURCH, VA 22042-3353
(703) 207-7218
(703) 645-3173
Mailing address
3302 GALLOWS RD, FALLS CHURCH, VA 22042-3353
(703) 207-7218
(703) 645-3173
Taxonomy
Speciality
Code
Description
License number
State
283Q00000X
Psychiatric Hospital
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
494010-5
—
VA
Enumeration date
07/28/2005
Last updated
08/22/2020
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