OrganizationActive
Fairfax County, Virginia
NPI 1174558266 · Multi-Specialty Clinic/Center · Fairfax, VA
Provider details
- NPI number
- 1174558266
- Entity type
- Organization
- Primary specialty
- Multi-Specialty Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Daryl Washington, Executive Director(703) 324-7000
- License
- 113 (VA)
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
12011 Government Center Pkwy
Suite 836
Fairfax, VA 22035-1100
Phone: (703) 324-7000
Fax: (703) 324-7092
Approximate (ZIP-level) locationGet directions
Mailing address
12000 Government Center Pkwy
Fairfax, VA 22035-0001
Other names (DBA / former)
- Doing business as
- Fairfax Falls Church Community Services Board - Dd Services
Registry dates
- Enumerated
- 2006-07-11
- Last updated
- 2021-04-01
- Certified
- 2021-04-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.