Organization
DESTINY PLACE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DEBORAH COLEMAN ROUNDTREE MA (CEO)
(703) 371-3421
Entity
Organization
Contact information
Practice address
5319 SENTRY LN, WOODBRIDGE, VA 22193-3431
(703) 371-3421
Mailing address
17964 SWANS CREEK LN, DUMFRIES, VA 22026-4526
(703) 371-3421
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
570
VA
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
570
VA
Other
Enumeration date
01/08/2007
Last updated
09/11/2025
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