Organization
ALPHA HAVEN HOMES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GARRY DALE (CEO)
(929) 581-5453
Entity
Organization
Contact information
Practice address
2182 ARMITAGE CT, WOODBRIDGE, VA 22191-6104
(929) 581-5453
Mailing address
2182 ARMITAGE CT, WOODBRIDGE, VA 22191-6104
(929) 581-5453
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
05/08/2026
Last updated
05/08/2026
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