Organization
RESIDENTIAL YOUTH SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DENNIS J. MANNING LCSW (PRESIDENT/CEO)
(703) 841-7768
Entity
Organization
Contact information
Practice address
4820 WELFORD ST, ALEXANDRIA, VA 22309-1044
(703) 347-6423
(703) 347-6424
Mailing address
14160 NEWBROOK DR, SUITE 100, CHANTILLY, VA 20151-2297
(703) 841-7768
(703) 842-2341
Taxonomy
Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
292-14-002
VA
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
292-14-007
VA
Other
Enumeration date
11/03/2010
Last updated
11/03/2010
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