# FOR CHILDREN'S SAKE EMERGENCY DIAGNOSTIC CENTER

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- **Entity:** Organization
- **Status:** Active
- **Other names:** For Children's Sake of Virginia
- **Organization subpart:** No

## Provider details

- **NPI number:** 1033262191
- **Authorized official:** MRS. DEBORAH K EVANS LCSW (CHIEF EXECUTIVE OFFICER)
- **Authorized official phone:** (703) 817-9890

## Contact information

- **Practice address:** 4805 WELLESLEY DR, WOODBRIDGE, VA 22192-5733
- **Practice address phone:** (703) 583-6971
- **Practice address fax:** (703) 583-6975
- **Mailing address:** 4805 WELLESLEY DR, WOODBRIDGE, VA 22192-5733
- **Mailing address phone:** (703) 583-6971
- **Mailing address fax:** (703) 583-6975

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 322D00000X | Emotionally Disturbed Childrens' Residential Treatment Facility | 58614001 | VA | Yes |

## Other

- **Enumeration date:** 01/19/2007
- **Last updated:** 02/15/2008