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Organization

CITY OF ALEXANDRIA

Active
Parent organization
CITY OF ALEXANDRIA
Other names
Alexandria Community Services Board
Organization subpart
Yes

Provider details

NPI number
Legal business name
CITY OF ALEXANDRIA
Authorized official
CATHERINE GARVEY (DIRECTOR)
(703) 746-3400
Entity
Organization

Contact information

Practice address
4850 MARK CENTER DR, ALEXANDRIA, VA 22311-1882
(703) 746-3400
Mailing address
4850 MARK CENTER DR FL 8, ALEXANDRIA, VA 22311-1882
(703) 746-3400

Taxonomy

Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
004945026
VA
01
18023
ANTHEM HEALTHKEEPERS MCO
VA
01
A439
BLUE CROSS BLUE SHIELD
VA
Enumeration date
07/19/2006
Last updated
05/20/2024
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