Provider Demographics
NPI:1922191121
Name:COMMUNITY LIVING ALTERNATIVES, CORP.
Entity Type:Organization
Organization Name:COMMUNITY LIVING ALTERNATIVES, CORP.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:SILVA
Authorized Official - Middle Name:
Authorized Official - Last Name:BEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:703-352-0388
Mailing Address - Street 1:9401 LEE HWY
Mailing Address - Street 2:SUITE 406
Mailing Address - City:FAIRFAX
Mailing Address - State:VA
Mailing Address - Zip Code:22031-1849
Mailing Address - Country:US
Mailing Address - Phone:703-352-0388
Mailing Address - Fax:703-352-4906
Practice Address - Street 1:9401 LEE HWY
Practice Address - Street 2:SUITE 406
Practice Address - City:FAIRFAX
Practice Address - State:VA
Practice Address - Zip Code:22031-1849
Practice Address - Country:US
Practice Address - Phone:703-352-0388
Practice Address - Fax:703-352-4906
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-02
Last Update Date:2007-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320900000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities