The Chancellor Group Home LLC

NPI #1972370237 in Sterling, Virginia

Provider Information

NPI Number: 1972370237
Entity Type: Organization
Organization Name: The Chancellor Group Home LLC
Primary Specialty: Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Enumeration Date: Dec 7, 2023
Last Updated: Dec 7, 2023

Practice Location

Address: 23096 FONTWELL SQ
City: Sterling
State: Virginia
ZIP Code: 20166-4348
Phone: (202) 615-1189

Authorized Official

Name: THOMAS BOAKYE
Title: PROGRAM DIRECTOR
Phone: (202) 615-1189

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Residential Treatment Facility, Intellectual and/or Developmental Disabilities	320600000X	Primary

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