Organization
FOR CHILDREN'S SAKE EMERGENCY DIAGNOSTIC CENTER
Active
Other names
For Children's Sake of Virginia
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DEBORAH K EVANS LCSW (CHIEF EXECUTIVE OFFICER)
(703) 817-9890
Entity
Organization
Contact information
Practice address
4805 WELLESLEY DR, WOODBRIDGE, VA 22192-5733
(703) 583-6971
(703) 583-6975
Mailing address
4805 WELLESLEY DR, WOODBRIDGE, VA 22192-5733
(703) 583-6971
(703) 583-6975
Taxonomy
Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
58614001
VA
Other
Enumeration date
01/19/2007
Last updated
02/15/2008
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