NPI | 1154356244 |
---|---|
Doing Business As | FAIRFAX-FALLS CHURCH COMMUNITY SERVICES BOARD |
Entity Type | Organization |
Authorized Contact | DARYL WASHINGTON Executive Director 703-324-7000 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Additional Taxonomies | 261QM1300X Clinic/Center, Multi-Specialty (Licence: VA 113) |
Enumeration Date | 2006-07-11 |
Last Update Date | 2020-10-01 |