Organization
FOR CHILDREN'S SAKE OF VIRGINIA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KELLEY WILLIS MSW (TFC PROGRAM COORDINATOR)
(703) 817-9890
Entity
Organization
Contact information
Practice address
14900 BOGLE DR, STE 200, CHANTILLY, VA 20151-1756
(703) 817-9890
(703) 817-9860
Mailing address
14900 BOGLE DR, STE 200, CHANTILLY, VA 20151-1756
(703) 817-9890
(703) 817-9860
Taxonomy
Speciality
Code
Description
License number
State
253J00000X
Foster Care Agency
Primary
—
—
Other
Enumeration date
09/22/2009
Last updated
07/17/2013
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