Organization
MEETOWN RESIDENTIAL CARE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARIATU CONTEH (DIRECTOR OF SERVICES)
(703) 884-5505
Entity
Organization
Contact information
Practice address
6601 LITTLE RIVER TPKE, SUITE 210, ALEXANDRIA, VA 22312-1303
(703) 884-5505
Mailing address
6601 LITTLE RIVER TPKE, SUITE 210, ALEXANDRIA, VA 22312-1303
(703) 884-5505
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
2241
VA
251S00000X
Community/Behavioral Health Agency
2241
VA
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
2241
VA
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
2241
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2241
VIRGINIA DEPARTMENT OF BEHAVIORIAL HEALTH AND DEVELOPMENTAL SERVICES
VA
01
—
2241-01-001
VIRGINIA DEPARTMENT OF BEHAVIORIAL HEALTH AND DEVELOPMENTAL SERVICES
VA
Enumeration date
08/01/2016
Last updated
08/01/2016
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