| Alexandria Csb Pie Program | |
|
720 N Saint Asaph St Alexandria VA 22314-1912 | |
| (703) 746-3461 | |
| Not Available |
| Full Name | Alexandria Csb Pie Program |
|---|---|
| Speciality | Clinic/center - Adolescent And Children Mental Health |
| Location | 720 N Saint Asaph St, Alexandria, Virginia |
| Authorized Official Name and Position | Suzanne Chis (EXECUTIVE DIRECTOR, CSB) |
| Authorized Official Contact | 7037463461 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Alexandria Csb Pie Program 720 N Saint Asaph St Alexandria VA 22314-1912 Ph: () - | Alexandria Csb Pie Program 720 N Saint Asaph St Alexandria VA 22314-1912 Ph: (703) 746-3461 |
| NPI Number | 1467832469 |
|---|---|
| Provider Enumeration Date | 06/04/2015 |
| Last Update Date | 06/04/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467832469 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0855X | Clinic/center - Adolescent And Children Mental Health | (* (Not Available)) | Primary |
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