Organization
A PLACE OF PEACE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LASHAWN R FISHER (DIRECTOR)
(571) 217-9463
Entity
Organization
Contact information
Practice address
300 N WASHINGTON ST STE 102, FALLS CHURCH, VA 22046-3441
(571) 217-9463
Mailing address
505 POTOMAC HILLS DR, STAFFORD, VA 22554-7725
(571) 217-9463
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
0701005399
VA
251B00000X
Case Management Agency
PRC14123
DC
251S00000X
Community/Behavioral Health Agency
Primary
0701005399
VA
251S00000X
Community/Behavioral Health Agency
PRC14123
DC
Other
Enumeration date
06/11/2013
Last updated
01/06/2014
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