Organization
FOR CHILDREN'S SAKE OF VIRGINIA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KAREN M. ELLIS LCSW (SUPERVISOR/THERAPIST)
(703) 282-9385
Entity
Organization
Contact information
Practice address
14014 SULLYFIELD CIR STE B, CHANTILLY, VA 20151-1689
(703) 817-9890
Mailing address
12891B GRAYS POINTE RD, FAIRFAX, VA 22033-2142
Taxonomy
Speciality
Code
Description
License number
State
253J00000X
Foster Care Agency
Primary
0904006883
VA
Other
Enumeration date
07/14/2008
Last updated
07/14/2008
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