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FAIRFAX FALLS CHURCH COMMUNITY SERVICE BOARD
NPI 1104161736
Substance Abuse Rehabilitation Facility in Chantilly, VA

Active since December 08, 2012
4213 WALNEY RD, CHANTILLY, VA 20151(703) 502-7000 Get Directions Write a Review

NPPES record last updated: December 8, 2012. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Fairfax Falls Church Community Service Board NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

FAIRFAX FALLS CHURCH COMMUNITY SERVICE BOARD (NPI 1104161736) is a healthcare organization registered as a substance abuse rehabilitation facility in Chantilly, Virginia and active in the NPI registry since December 2012. The organization lists Rosaline Nankam, Rn/ Supervisor, as its authorized official.

NPPES Registry Identity

NPI1104161736
Entity TypeOrganization
Primary Taxonomy324500000X
Legal Business NameFAIRFAX FALLS CHURCH COMMUNITY SERVICE BOARD
Location Address4213 WALNEY RDChantilly, VA 20151-2923
Mailing Address4213 Walney RdChantilly, VA 20151-2923 · (703) 502-5005
Phone(703) 502-7000
Organization SubpartYesParent: Fairfax County Govt.
Authorized OfficialRosaline NankamRn/ Supervisor · (703) 502-7005
Enumeration DateDecember 8, 2012
✔ NPI 1104161736 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySubstance Abuse Rehabilitation FacilityResidential Treatment Facilities
Taxonomy Code324500000X
License✔ Licensed in VA · 0002052809
Definition

A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.

4213 WALNEY RD, Chantilly, VA 20151
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MS. XIN WANG NP
Nurse Practitioner (Adult Health)
4213 WALNEY RD
CHANTILLY, VA 20151
Fairfax County (703) 383-8500
KARLA MAYANDY CAMPOS-HUNT LPC, CSAC
Counselor (Professional)
4213 WALNEY RD
CHANTILLY, VA 20151
Fairfax County (703) 502-7060
LISA TAYLOR LCSW, CSAC
Social Worker (Clinical)
4213 WALNEY RD
CHANTILLY, VA 20151
Fairfax County (703) 502-7016
MRS. KATHLEEN ANNE CAMPENNI R.N.
Registered Nurse
4213 WALNEY RD
CHANTILLY, VA 20151
Fairfax County (703) 502-7000
HOLLY JO-ANN BURLEY LCSW
Social Worker (Clinical)
4213 WALNEY RD
CHANTILLY, VA 20151
Fairfax County (703) 502-7009
JOHN DAVID HUDSON III
Student in an Organized Health Care Education/Training Program
4213 WALNEY RD
CHANTILLY, VA 20151
Fairfax County (703) 502-7000
MAX-ANDRE ISIDORE LCSW
Social Worker (Clinical)
4213 WALNEY RD
CHANTILLY, VA 20151
Fairfax County (703) 502-7000
MRS. WANDA DEANN ORR RN
Registered Nurse (Addiction (Substance Use Disorder))
4213 WALNEY RD
CHANTILLY, VA 20151
Fairfax County (703) 502-7000

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Fairfax Falls Church Community Service Board's NPI number?

The NPI number for Fairfax Falls Church Community Service Board is 1104161736. It was assigned to this organization in the NPPES registry on December 8, 2012.

Where is Fairfax Falls Church Community Service Board located?

Fairfax Falls Church Community Service Board is located at 4213 Walney Rd, Chantilly, VA 20151. The listed phone number is (703) 502-7000.

What is Fairfax Falls Church Community Service Board's specialty?

The primary specialty registered for this NPI is Substance Abuse Rehabilitation Facility with taxonomy code 324500000X.

When was this NPI record last updated?

The NPPES record for Fairfax Falls Church Community Service Board was last updated on December 8, 2012. NPI Profile syncs with the weekly NPPES data releases published by CMS.