Organization
GREAT FALLS WELLNESS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MATT LAVIN (OWNER/CEO)
(202) 365-8593
Entity
Organization
Contact information
Practice address
737 WALKER RD STE 2, GREAT FALLS, VA 22066-2833
(703) 659-1400
Mailing address
737 WALKER RD STE 2, GREAT FALLS, VA 22066-2833
(703) 659-1400
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
—
Other
Enumeration date
11/02/2022
Last updated
02/23/2024
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