Organization
COMMUNITY LIVING ALTERNATIVES - ICF
Active
Other names
CLA - ICF
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SILVA BEY (EXECUTIVE DIRECTOR)
(703) 352-0388
Entity
Organization
Contact information
Practice address
4123 CONRAD RD, (FORMERLY COURHOUSE ROAD ICF), ALEXANDRIA, VA 22312-1155
(703) 352-0388
Mailing address
9401 LEE HWY, #406, FAIRFAX, VA 22031-1849
(703) 352-0388
Taxonomy
Speciality
Code
Description
License number
State
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
08502006
VA
Other
Enumeration date
07/30/2007
Last updated
08/02/2007
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