Organization
TIKOR COMMUNITY & HUMAN SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL JOSEPH SAFFA-WUYA SR. MBA (PRESIDENT)
(703) 596-4830
Entity
Organization
Contact information
Practice address
7810 NEWINGTON WOODS DR, SPRINGFIELD, VA 22153-2235
(703) 596-4830
(703) 652-7737
Mailing address
7810 NEWINGTON WOODS DR, SPRINGFIELD, VA 22153-2235
(703) 596-4830
(703) 652-7737
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
1245-01-001
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1245
DMHMRSAS - A INTELLECTUAL DISABILITY RESIDENTIAL GROUP HOME SERVICE FOR ADULTS
VA
Enumeration date
05/27/2009
Last updated
05/27/2009
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