Organization
ALPHA HEALTH SUPPORT SERVICES LLC
Active
Other names
ALPHA HEALTH SUPPORT SERVICES LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. PATRICIA NDUBUEZE (CEO)
(301) 728-5198
Entity
Organization
Contact information
Practice address
6215 GREENBELT RD STE 306, BERWYN HEIGHTS, MD 20740-2363
(301) 728-5198
Mailing address
6215 GREENBELT RD STE 306, BERWYN HEIGHTS, MD 20740-2363
Taxonomy
Speciality
Code
Description
License number
State
261QD1600X
Developmental Disabilities Clinic/Center
—
—
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
03/21/2022
Last updated
12/08/2022
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