Organization · Type 2 NPI
Fairfax Falls Church Community Service Board
Substance Abuse Rehabilitation Facility · Chantilly, VA
NPI number
1104161736
Active
Practice location
4213 Walney Rd
Chantilly, VA 20151-2923
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Substance Abuse Rehabilitation Facility Primary | 324500000X | 0002052809 (VA) |
Substance Abuse Rehabilitation Facility: A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.
43 other providers at this address
- Andie Catherine Pomponio, LCSWClinical Social Worker Chantilly, VA NPI 1295502557
- Bree Ann F. Moore, LCSWClinical Social Worker Chantilly, VA NPI 1346995867
- Cecil Lynn Garrison Jr., LCSW, LSATPClinical Social Worker Chantilly, VA NPI 1548372915
- Cristian SantibanezAddiction (Substance Use Disorder) Registered Nurse Chantilly, VA NPI 1700083466
- Dana JohnsonClinical Social Worker Chantilly, VA NPI 1669053302
- David Rhee, LPCProfessional Counselor Chantilly, VA NPI 1568151074
- David Rose, RNAdult Psychiatric/Mental Health Registered Nurse Chantilly, VA NPI 1467050302
- Debra O'Beirne, MDPsychiatry Physician Chantilly, VA NPI 1710045414
- Diane BriskAddiction (Substance Use Disorder) Registered Nurse Chantilly, VA NPI 1457502627
- Erin Elias Keller, RNRegistered Nurse Chantilly, VA NPI 1376845685
- Geraldine Jones, RNAddiction (Substance Use Disorder) Registered Nurse Chantilly, VA NPI 1902131451
- Haileyesus Mekonnen, RNRegistered Nurse Chantilly, VA NPI 1841899655
Other substance abuse rehabilitation facility providers in Chantilly
About NPI 1104161736
Fairfax Falls Church Community Service Board's National Provider Identifier is 1104161736, issued on Dec 8, 2012. The primary taxonomy on file is Substance Abuse Rehabilitation Facility (324500000X), and the practice location is in Chantilly, VA. The record was last updated on Dec 8, 2012.