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Organization

COMMUNITY FIRST SUPPORT SERVICES

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. ALEXANDER KOILA NGATI APRN (PROGRAM DIRECTOR)
(240) 888-0902
Entity
Organization

Contact information

Practice address
175 LITTLE SORREL DR, MIDDLETOWN, VA 22645-4015
(540) 202-7910
(240) 778-2233
Mailing address
175 LITTLE SORREL DR, MIDDLETOWN, VA 22645-4015
(540) 202-7910
(240) 778-2233

Taxonomy

Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary

Other

Enumeration date
01/29/2026
Last updated
01/29/2026
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