Organization
ALEXANDRIA ADOLESCENT AND ADULT THERAPY, INC.
Active
Organization
ALEXANDRIA ADOLESCENT AND ADULT THERAPY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. BONNIE MANUEL LCSW, CSOTP (PRESIDENT)
(518) 522-3628
Entity
Organization
Contact information
Practice address
228 S WASHINGTON ST, SUITE 330, ALEXANDRIA, VA 22314-5408
(518) 483-5002
(571) 312-9526
Mailing address
8424 WASHINGTON AVE, ALEXANDRIA, VA 22309-2319
(518) 522-3628
(571) 312-9526
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
0904007238
VA
Other
Enumeration date
07/10/2013
Last updated
07/10/2013
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