OrganizationActive
Fairfax Falls Church Community Service Board
NPI 1104161736 · Substance Abuse Rehabilitation Facility · Chantilly, VA
Provider details
- NPI number
- 1104161736
- Entity type
- Organization
- Primary specialty
- Substance Abuse Rehabilitation FacilityResidential Treatment Facilities
- Parent organization
- Fairfax County Govt.
- Organization subpart
- Yes
- Authorized official
- Rosaline Nankam, RN/ Supervisor(703) 502-7005
- License
- 0002052809 (VA)
Specialties & taxonomies
Residential Treatment Facilities
Practice location
4213 Walney Rd
Chantilly, VA 20151-2923
Phone: (703) 502-7000
Approximate (ZIP-level) locationGet directions
Mailing address
4213 Walney Rd
Chantilly, VA 20151-2923
Registry dates
- Enumerated
- 2012-12-08
- Last updated
- 2012-12-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.