Collaborative Community LLC
NPI #1659993079 in Springfield, Virginia
Provider Information
- NPI Number
- 1659993079
- Entity Type
- Organization
- Organization Name
- Collaborative Community LLC
- Primary Specialty
- Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
- Enumeration Date
- May 7, 2020
- Last Updated
- May 7, 2020
Practice Location
- Address
- 6000 FILBERT CT
- City
- Springfield
- State
- Virginia
- ZIP Code
- 22152-1609
- Phone
- (202) 355-4327
Authorized Official
- Name
- MR. JAMEL DENNARD KIMBRO
- Title
- CEO
- Phone
- (202) 355-4327
Specialties & Taxonomy Codes
| Specialty |
|---|
| Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
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