Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DARRYL GLEN FUNK, LSATP
Active Sole ProprietorDARRYL GLEN FUNK, LSATP is a Substance Abuse Rehabilitation Facility healthcare provider located in ARLINGTON, Virginia. NPI 1568612679 is currently active in the NPPES registry. Verify at CMS.
Substance Abuse Rehabilitation Facility · ARLINGTON, VA
Registration Details
- NPI Number
- 1568612679
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Sep 25, 2008 (17.894068433883 yrs)
- Last Updated
- Sep 25, 2008
- License
-
0718000027 (VA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
521 N QUINCY STARLINGTON, VA, 222032136Browse VA providers · Browse ZIP 22203
- Phone
- 7038410703
- Fax
- 7038412316
- Primary Specialty
-
Substance Abuse Rehabilitation Facility
324500000X
- Additional Specialty
- Substance Abuse Rehabilitation Facility
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.