Organization
ROSSYBRIGHT HEALTH SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KIZITO FONJONG TEMBU SR. (ADMINISTRATOR)
(443) 622-9330
Entity
Organization
Contact information
Practice address
5709 CEDAR WALK APT 201, CENTREVILLE, VA 20121-4528
(443) 622-9330
(703) 738-7814
Mailing address
5680 KING CENTRE DR STE 600, ALEXANDRIA, VA 22315-5755
(703) 647-3886
(703) 738-7814
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
—
—
Other
Enumeration date
03/16/2023
Last updated
09/06/2023
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