Monte Nido Tysons Corner Day Treatment

LBN: Clementine Twin Lakes, Llc
Monte Nido Tysons Corner Day Treatment is an health care organization with primary practice located at 8180 Greensboro Dr Ste 375 , Mc Lean VA 22102-3888. The organization recently has only one registered license in Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center), which is considered as the primary health care specialty. Clementine Twin Lakes, Llc can be contacted via phone (571) 569-4929, or through Moody, Edward via phone (571) 334-3144.

Contact Information

Primary practice address
8180 Greensboro Dr Ste 375 Mc Lean VA 22102-3888
Phone: (571) 569-4929
Fax: (571) 762-0865
Website:
Map and Directions
Authorized official contact:
Name: Moody, Edward
Phone: (571) 334-3144

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) 261QM0801X

Profile Details

NPI number 1033970603
LBN Legal business name Clementine Twin Lakes, Llc
DBA Doing business as Monte Nido Tysons Corner Day Treatment
Authorized official Moody, Edward
Entity Organization
Organization subpart 1 No
Enumeration date Jan 19th, 2024
Last updated Jun 26th, 2024 - about 2 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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