OrganizationActive
Nu-Start Youth Intervention Services LLC
NPI 1851673230 · Emotionally Disturbed Childrens' Residential Treatment Facility · Annandale, VA
Provider details
- NPI number
- 1851673230
- Entity type
- Organization
- Primary specialty
- Emotionally Disturbed Childrens' Residential Treatment FacilityResidential Treatment Facilities
- Authorized official
- Donnette Shaw-Cunningham, Executive Director
Practice location
5039 Backlick Rd
Suite a
Annandale, VA 22003-6046
Phone: (703) 750-1132
Fax: (703) 750-1142
Mailing address
5039 Backlick Rd
Annandale, VA 22003-6046
Registry dates
- Enumerated
- 2011-09-13
- Last updated
- 2011-12-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.