| Tree Of Life Family Services, Llc | |
|
42273 Canary Grass Sq Aldie VA 20105-5706 | |
| (703) 798-0767 | |
| Not Available |
| Full Name | Tree Of Life Family Services, Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 42273 Canary Grass Sq, Aldie, Virginia |
| Authorized Official Name and Position | Zamira Keating (CHIEF FINANCIAL OFFICER) |
| Authorized Official Contact | 3474661587 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tree Of Life Family Services, Llc 42273 Canary Grass Sq Aldie VA 20105-5706 Ph: (703) 798-0767 | Tree Of Life Family Services, Llc 42273 Canary Grass Sq Aldie VA 20105-5706 Ph: (703) 798-0767 |
| NPI Number | 1265947550 |
|---|---|
| Provider Enumeration Date | 12/07/2017 |
| Last Update Date | 07/09/2020 |
| Certification Date | 07/09/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265947550 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 6633310 (Delaware) | Primary |
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