Organization
THERAPEUTIC ALLIANCE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALKESH PATEL (DIRECTOR)
(703) 492-2686
Entity
Organization
Contact information
Practice address
10535 CRESTWOOD DR, MANASSAS, VA 20109-4416
(703) 492-2686
Mailing address
10535 CRESTWOOD DR, MANASSAS, VA 20109-4416
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
10/11/2016
Last updated
10/11/2016
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