Whalio Doctors

NPI 1063072684

Discovery Practice Management, INC.

Organisation Psychiatric Residential Treatment Facility Fairfax, VA

Practice location

Address
10340 Democracy Ln STE 204, Fairfax, VA 22030-2518
Phone
(714) 828-1800
Fax
(714) 882-1186
Mailing address
18401 von Karman Ave STE 500, Irvine, CA 92612-8531

Authorised official

Name
Magdalen Gustilo
Title
Director of Payer Relations
Phone
(714) 568-7667

Registered specialties

Psychiatric Residential Treatment Facility Primary
Residential Treatment Facilities Taxonomy 323P00000X

Registry record

NPI
1063072684
Entity type
Organization
NPI issued
17 Jun 2019
Record last updated
9 May 2023

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.