| NPI | 1134363534 |
|---|---|
| Doing Business As | ANNANDALE COMPREHENSIVE TREATMENT CENTER |
| Other Name | FAIRFAX METHADONE TREATMENT CENTER |
| Entity Type | Organization |
| Authorized Contact | BRIAN FARLEY EVP & Secretary 615-861-6000 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM2800X Clinic/Center, Methadone Clinic (Licence: VA 089) |
| Enumeration Date | 2009-04-29 |
| Last Update Date | 2025-04-09 |