Organization
DOMINION COMMUNITY INTEGRATION SERVICES INC.
Active
Other names
DCIS Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
SHEKU BRIMA STEWART LAHAI RN (SERVICE DIRECTOR)
(703) 953-9317
Entity
Organization
Contact information
Practice address
4349 RIDGEWOOD CENTER DR STE 101, WOODBRIDGE, VA 22192-8330
(703) 953-9317
Mailing address
4349 RIDGEWOOD CENTER DR STE 101, WOODBRIDGE, VA 22192-8330
(703) 953-9317
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
9013
DBHDS CENTER-BASED DAY SUPPORT ADULT
VA
Enumeration date
04/15/2024
Last updated
04/15/2024
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