institution
Icon Community Services, Inc
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Alexandria, Virginia
NPI 1386727329

Icon Community Services, Inc is a Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility based in Alexandria, VA. Icon Community Services, Inc practices in Alexandria, VA. The NPI Number for Icon Community Services, Inc is 1386727329 and holds a License No. 06303001 (Virginia).

The current practice location address for Icon Community Services, Inc is 1240 N Pitt St, Alexandria, VA and can be reached out via phone at 703-548-4048 and via fax at 703-548-0198.

Location: 1240 N Pitt St, Alexandria, VA, 22314-5600
institution
Provider Profile Details
NPI Number
1386727329
Provider Name
Icon Community Services, Inc
Credential
Provider Entity Type
Organization
Address
1240 N Pitt St, Alexandria, VA, 22314-5600
Phone Number
703-548-4048
Fax Number
703-548-0198
Provider Enumeration Date
10/23/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
1240 N Pitt St
City
State
Zip
22314-5600
Phone Number
703-548-4048
Fax Number
703-548-0198
person
Provider Business Mailing Address Details
Address
1240 N Pitt St
City
State
Zip
22314-5600
Phone Number
703-548-4048
Fax Number
703-548-0198
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Speciality
-
Taxonomy
License No.
06303001 (Virginia)
Definition
A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities.
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