Organization
JUBILEE COMMUNITY DEVELOPMENT CORPORATION
Active
Other names
JCDC
Organization subpart
No
Provider details
NPI number
Authorized official
SYLVIA D SHIPMAN DD (CEO)
(240) 461-8096
Entity
Organization
Contact information
Practice address
3398 OAKHAM MOUNT DR, TRIANGLE, VA 22172-2342
(877) 360-1177
Mailing address
3398 OAKHAM MOUNT DR, TRIANGLE, VA 22172-2342
(877) 360-1177
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
252Y00000X
Early Intervention Provider Agency
—
—
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
05/06/2020
Last updated
05/25/2020
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