OrganizationActive
Discovery Practice Management, Inc
NPI 1497283527 · Psychiatric Residential Treatment Facility · Fairfax Station, VA
Provider details
- NPI number
- 1497283527
- Entity type
- Organization
- Primary specialty
- Psychiatric Residential Treatment FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Magdalen Gustilo, Director of Payer Relations(714) 568-7667
Specialties & taxonomies
Residential Treatment Facilities
Practice location
10416 Burke Lake Rd
Fairfax Station, VA 22039-1808
Phone: (714) 828-1800
Fax: (714) 882-1186
Approximate (ZIP-level) locationGet directions
Mailing address
18401 Von Karman Ave Ste 500
Irvine, CA 92612-8531
Other names (DBA / former)
- Doing business as
- Discovery Mood & Anxiety Program, Fairfax Station
Registry dates
- Enumerated
- 2017-06-02
- Last updated
- 2023-05-10
- Certified
- 2023-05-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.