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Organization
CITY OF ALEXANDRIA
Active
Organization
CITY OF ALEXANDRIA
Active
Other names
Alexandria CSB PIE Program
Organization subpart
No
Provider details
NPI number
Authorized official
SUZANNE CHIS (EXECUTIVE DIRECTOR, CSB)
(703) 746-3461
Entity
Organization
Contact information
Practice address
720 N SAINT ASAPH ST, ALEXANDRIA, VA 22314-1912
(703) 746-3461
Mailing address
720 N SAINT ASAPH ST, ALEXANDRIA, VA 22314-1912
Taxonomy
Speciality
Code
Description
License number
State
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
06/04/2015
Last updated
06/04/2015
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