Evidence Based Treatment Collaborative

LBN: Evidence Based Treatment Collaborative
Evidence Based Treatment Collaborative is an health care organization with primary practice located at 4000 Legato Rd Fl 11 , Fairfax VA 22033-2892. 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. Evidence Based Treatment Collaborative can be contacted via phone (571) 206-1747, or through Marino, Joanna via phone (571) 477-1611.

Contact Information

Primary practice address
4000 Legato Rd Fl 11 Fairfax VA 22033-2892
Phone: (571) 206-1747
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Marino, Joanna PHD
Phone: (571) 477-1611

Health care specialties

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

Profile Details

NPI number 1922858794
LBN Legal business name Evidence Based Treatment Collaborative
DBA Doing business as
Authorized official Marino, Joanna PHD
Entity Organization
Organization subpart 1 No
Enumeration date Mar 25th, 2024
Last updated Mar 25th, 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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