Organization
SALVATION ACADEMY
Active
Other names
SALVATION ACADEMY
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRIMA BOB DEEN BA.,ADBS., GBM. (PRESIDENT)
(571) 217-8394
Entity
Organization
Contact information
Practice address
4810 BEAUREGARD ST, SUITE G1-4, ALEXANDRIA, VA 22312-1709
(571) 405-6465
Mailing address
4810 BEAUREGARD ST, SUITE G1-4, ALEXANDRIA, VA 22312-1709
(571) 405-6465
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
10/05/2009
Last updated
10/05/2009
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