Organization
CRYSTAL CARE INC
Active
Organization
CRYSTAL CARE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ABABIO GYEBI (CEO)
(301) 526-6199
Entity
Organization
Contact information
Practice address
3311 DAUPHINE DR, FALLS CHURCH, VA 22042-3724
(301) 526-6199
Mailing address
3311 DAUPHINE DR, FALLS CHURCH, VA 22042-3724
(301) 526-6199
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
—
—
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
—
—
333300000X
Emergency Response System Companies
—
—
Other
Enumeration date
03/01/2021
Last updated
03/01/2021
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