| NPI | 1174558266 |
|---|---|
| Doing Business As | FAIRFAX FALLS CHURCH COMMUNITY SERVICES BOARD - DD SERVICES |
| Entity Type | Organization |
| Authorized Contact | DARYL WASHINGTON Executive Director 703-324-7000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty (Licence: VA 113) |
| Enumeration Date | 2006-07-11 |
| Last Update Date | 2021-04-01 |