Whalio Doctors

NPI 1356722722

Discovery Practice Management, INC

Organisation Psychiatric Residential Treatment Facility Fairfax, VA

Practice location

Address
5343 Summit Dr, Fairfax, VA 22030-6523
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
1356722722
Entity type
Organization
NPI issued
11 Jun 2015
Record last updated
10 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.