Supportive Care Aba Va LLC

NPI #1053034231 in Mc Lean, Virginia

Provider Information

NPI Number
1053034231
Entity Type
Organization
Organization Name
Supportive Care Aba Va LLC
Primary Specialty
Community/Behavioral Health
Enumeration Date
Sep 22, 2022
Last Updated
Oct 31, 2024

Practice Location

Address
1765 GREENSBORO STATION PL
ZIP Code
22102-3467
Phone
(317) 936-1240

Authorized Official

Name
MR. RUBEN KESHERIM
Title
MEMBER
Phone
(317) 936-1240

Specialties & Taxonomy Codes

Specialty
Behavior Analyst
Community/Behavioral Health

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