Organization
ST. JOHN'S COMMUNITY SERVICES- VIRGINIA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. THALIA SIMPSON-CLEMENT (VA. STATE DIRECTOR)
(703) 914-2755
Entity
Organization
Contact information
Practice address
7611 LITTLE RIVER TURNPIKE, SUITE 404 WEST, ANNANDALE, VA 22003
(703) 914-2755
(703) 914-5437
Mailing address
7611 LITTLE RIVER TURNPIKE, SUITE 404 WEST, ANNANDALE, VA 22003
(703) 914-2755
(703) 914-5437
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
194-01-001
VA
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
194-01-001
VA
Other
Enumeration date
07/18/2006
Last updated
09/11/2025
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