Organization Name: | CHILDREN'S SERVICES OF VIRGINIA, INC. |
NPI Number: | 1013186055 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | BASSAM T SABBAGH (EXECUTIVE DIRECTOR) |
Mailing Address: | 13230 Lovers Lane Culpeper |
State: | VA US |
Postal Code: | 22701 |
Phone Number: | 5408299612 |
Fax Number: | 5408299628 |
NPI Enumeration Date: | 02/25/2008 |
NPI Last Update Date: | 08/13/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | 34203001 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | VA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |