IndividualActive
Darryl Funk, LSATP
NPI 1568612679 · Substance Abuse Rehabilitation Facility · Arlington, VA
Provider details
- NPI number
- 1568612679
- Entity type
- Individual
- Primary specialty
- Substance Abuse Rehabilitation FacilityResidential Treatment Facilities
- Credential
- LSATP
- Sex
- Male
- Sole proprietor
- Yes
- License
- 0718000027 (VA)
Specialties & taxonomies
Residential Treatment Facilities
- Substance Abuse Rehabilitation Facility324500000X
Residential Treatment Facilities
Practice location
521 N Quincy St
Arlington, VA 22203-2136
Phone: (703) 841-0703
Fax: (703) 841-2316
Approximate (ZIP-level) locationGet directions
Mailing address
521 N Quincy St.
Arlington, VA 22203-1785
Registry dates
- Enumerated
- 2008-09-25
- Last updated
- 2008-09-25
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.