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Organization
CITY OF ALEXANDRIA
Active
Organization
CITY OF ALEXANDRIA
Active
Parent organization
CITY OF ALEXANDRIA
Other names
Alexandria Community Services Board
Organization subpart
Yes
Provider details
NPI number
Legal business name
CITY OF ALEXANDRIA
Authorized official
CATHERINE GARVEY (DIRECTOR)
(703) 746-3400
Entity
Organization
Contact information
Practice address
4850 MARK CENTER DR, ALEXANDRIA, VA 22311-1882
(703) 746-3400
Mailing address
4850 MARK CENTER DR FL 8, ALEXANDRIA, VA 22311-1882
(703) 746-3400
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004945026
—
VA
01
—
18023
ANTHEM HEALTHKEEPERS MCO
VA
01
—
A439
BLUE CROSS BLUE SHIELD
VA
Enumeration date
07/19/2006
Last updated
05/20/2024
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