Fairfax Falls Church Community Service Board

NPI #1104161736 in Chantilly, Virginia

Provider Information

NPI Number
1104161736
Entity Type
Organization
Organization Name
Fairfax Falls Church Community Service Board
Subpart
Yes (part of a larger organization)
Parent Organization
FAIRFAX COUNTY GOVT.
Primary Specialty
Substance Abuse Rehabilitation Facility
Enumeration Date
Dec 8, 2012
Last Updated
Dec 8, 2012

Practice Location

Address
4213 WALNEY RD
ZIP Code
20151-2923
Phone
(703) 502-7000

Authorized Official

Name
ROSALINE NANKAM
Title
RN/ SUPERVISOR
Phone
(703) 502-7005

Specialties & Taxonomy Codes

Specialty
Substance Abuse Rehabilitation Facility

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