NPI 1942490586
Community Living Alternatives - Icf
Practice location
- Address
- 4123 Conrad Rd (formerly Courhouse Road Icf), Alexandria, VA 22312-1155
- Phone
- (703) 352-0388
- Mailing address
- 9401 Lee Hwy #406, Fairfax, VA 22031-1849
Authorised official
- Name
- Silva Bey
- Title
- Executive Director
- Phone
- (703) 352-0388
Registered specialties
Intellectual Disabilities Intermediate Care Facility
Primary
Registry record
- NPI
- 1942490586
- Entity type
- Organization
- NPI issued
- 30 Jul 2007
- Record last updated
- 2 Aug 2007
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.