NU-START YOUTH INTERVENTION SERVICES LLC NPI 1851673230

NPI Information

  • NPI: 1851673230
  • Provider Name: NU-START YOUTH INTERVENTION SERVICES LLC
  • Classification: Residential Treatment Facility, Emotionally Disturbed Children - 322D00000X
  • Entity Type: Organization
  • Address: 5039 BACKLICK RD
    SUITE A
    ANNANDALE, VA
    ZIP 22003
  • Phone: (703) 750-1132

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NPI Details

NU-START YOUTH INTERVENTION SERVICES LLC is a residential treatment facility emotionally disturbed children in Annandale, VA. The provider is a residential facility that provides habilitation services and other care and treatment to children diagnosed with mental health illness, behavioral issues, and intellectual disabilities and are not able to live independently. NU-START YOUTH INTERVENTION SERVICES LLC NPI is 1851673230. The provider is registered as an organization entity type.

The provider's business location address is:

5039 BACKLICK RD
SUITE A
ANNANDALE, VA
ZIP 22003-046
Phone: (703) 750-1132
Fax: (703) 750-1142

The provider's authorized official is Donnette Shaw-cunningham .
The authorized official title is Executive Director and has the following contact phone number (202) 421-4130.

The enumeration date for this NPI number is 9/13/2011 and was last updated on 12/27/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1322D00000XResidential Treatment Facility, Emotionally Disturbed ChildrenVIRGINIAYes

What is NPI?

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This page was last updated on: 11/21/2025

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