| Community Residences, Inc | |
|
14160 Newbrook Dr Ste 100 Chantilly VA 20151-2297 | |
| (703) 842-2327 | |
| (703) 842-2341 |
| Full Name | Community Residences, Inc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 14160 Newbrook Dr Ste 100, Chantilly, Virginia |
| Authorized Official Name and Position | Terry Hurley (VP ADMIN, CFO) |
| Authorized Official Contact | 7038422321 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Community Residences, Inc 14160 Newbrook Dr Chantilly VA 20151-2297 Ph: () - | Community Residences, Inc 14160 Newbrook Dr Ste 100 Chantilly VA 20151-2297 Ph: (703) 842-2327 |
| NPI Number | 1942218565 |
|---|---|
| Provider Enumeration Date | 08/03/2006 |
| Last Update Date | 01/09/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942218565 | NPI | - | NPPES |
| 004946707 | Medicaid | VA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 0904006376 (Virginia) | Secondary |
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
Connections Medical Of Va, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 14554 Lee Rd Ste 102, Chantilly, VA 20151 Phone: 520-301-2400 | |
Ladderbox, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 4252 Airline Pkwy, Chantilly, VA 20151 Phone: 202-655-7138 | |
Connections Healthva, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 14554 Lee Rd Ste 101, Chantilly, VA 20151 Phone: 520-301-2400 | |
David C Heebner, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 14143 Robert Paris Ct, Chantilly, VA 20151 Phone: 703-403-2773 | |
Ri International Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 14554 Lee Rd, Chantilly, VA 20151 Phone: 602-650-1212 Fax: 602-650-1616 | |
Psychiatric Associates Of Northern Virginia Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 4229 Lafayette Center Dr Ste 1760, Chantilly, VA 20151 Phone: 443-610-2615 | |
Pasadena Villa Outpatient- Chantilly Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 14555 Avion Pkwy Ste 150, Chantilly, VA 20151 Phone: 703-682-8057 |