Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Medical Management of VA LLC

Organization Substance Abuse Rehabilitation Facility · NPI 1750612495

Medical Management of VA LLC is a Substance Abuse Rehabilitation Facility in Fairfax, Virginia. Licensed in Virginia. Registered with an NPI since 2010.

Licensed in
VA
In the registry since
2010
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

10640 Main St Ste 300
Fairfax, VA 22030-3821
Phone: (954) 587-7771
Fax: (954) 208-5770
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Substance Abuse Rehabilitation Facility (primary) Taxonomy 324500000X · Licence 42902001 (VA)

Record details

NPI number1750612495
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationBridging the Gaps
Authorized official Peter Ewens — Ceo · (954) 587-7771
Other names Horizons Of Hope
NPI enumeratedJanuary 20, 2010
Last updated in NPPESJanuary 20, 2010
Mailing address11230 Waples Mill Rd, Suite 125, Fairfax, VA 22030-6087

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