Organization
ALPHA COMMUNITY SERVICES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATHRON NICHOLS QMHP (PROGRAM DIRECTOR)
(757) 635-6573
Entity
Organization
Contact information
Practice address
5301 ROBIN HOOD RD STE 108, NORFOLK, VA 23513-2419
(757) 792-5190
(757) 689-4865
Mailing address
1109 GLADIOLA CRES, VIRGINIA BEACH, VA 23453-2305
(757) 635-6573
(757) 689-4865
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
699-01-001
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0101740311
—
VA
Enumeration date
07/24/2006
Last updated
09/18/2025
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