Organization
DOMINION COMMUNITY INTEGRATION SERVICES INC.
Active
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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