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Organization

CITY OF ALEXANDRIA

Active
Other names
Alexandria CSB PIE Program
Organization subpart
No

Provider details

NPI number
Authorized official
SUZANNE CHIS (EXECUTIVE DIRECTOR, CSB)
(703) 746-3461
Entity
Organization

Contact information

Practice address
720 N SAINT ASAPH ST, ALEXANDRIA, VA 22314-1912
(703) 746-3461
Mailing address
720 N SAINT ASAPH ST, ALEXANDRIA, VA 22314-1912

Taxonomy

Speciality
Code
Description
License number
State
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary

Other

Enumeration date
06/04/2015
Last updated
06/04/2015
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