360 INNOVATIVE THERAPY LLC

FAIRFAX, VA
NPI1770178816
Doing Business As360 INNOVATIVE THERAPY
Entity TypeOrganization
Authorized ContactBEVERLY MCNAIRY
CEO
571-575-3767
Organization Subpart ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Additional Taxonomies101Y00000X Counselor
101YM0800X Counselor, Mental Health
101YS0200X Counselor, School
Enumeration Date2021-03-01
Last Update Date2021-03-01
Business Address
360 INNOVATIVE THERAPY LLC
10304 EATON PL STE 100
FAIRFAX, VA 22030-2238
Phone number: 571-575-3767
Mailing Address
360 INNOVATIVE THERAPY LLC
10304 EATON PL STE 100
FAIRFAX, VA 22030-2238
Phone number: 571-575-3767