Organization
ALEXANDRIA COMMUNITY SERVICES BOARD
Active
Parent organization
ALEXANDRIA COMMUNITY SERVICES BOARD
Other names
Kurt Brandt, MD
Organization subpart
Yes
Provider details
NPI number
Legal business name
ALEXANDRIA COMMUNITY SERVICES BOARD
Authorized official
MICHAEL GILMORE PHD (EXECUTIVE DIRECTOR)
(703) 838-4455
Entity
Organization
Contact information
Practice address
2355A MILL RD, ALEXANDRIA, VA 22314-4608
(703) 838-4455
Mailing address
2355A MILL RD, ALEXANDRIA, VA 22314-4608
(703) 838-4455
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
0101033931
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0093
CAREFIRST BCBS
VA
01
—
10233662
AMERIGROUP CORP
VA
Enumeration date
04/08/2008
Last updated
04/08/2008
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