Organization
CBN HEALTHCARE RESIDENTIAL SERVICES,INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHIAGOZIE NWOSU (CEO)
(571) 398-2600
Entity
Organization
Contact information
Practice address
1549 OLD BRIDGE RD STE 303, WOODBRIDGE, VA 22192-2737
(571) 398-2600
(571) 398-2599
Mailing address
15301 COMUS CT, WOODBRIDGE, VA 22193-5877
(703) 589-0630
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
12/12/2024
Last updated
12/12/2024
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