Organization
ALPHA COUNSELING AND TREATMENT INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RITU BHAMBHANI MD (OWNER)
(443) 857-1416
Entity
Organization
Contact information
Practice address
5430 CAMPBELL BLVD STE 112, WHITE MARSH, MD 21162-5503
(410) 777-8971
Mailing address
100 WALTER WARD BLVD STE 200, ABINGDON, MD 21009-1285
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
21D2255255
CMS CLIA
MD
01
—
220141
MARYLAND DEPT OF HEALTH LAB PERMIT
MD
Enumeration date
11/29/2022
Last updated
11/01/2023
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