Organization
TREASURE HEALTH INC
Active
Other names
Treasure Health Inc
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RICHARD C NGUNDAM (PRESIDENT)
(703) 623-0782
Entity
Organization
Contact information
Practice address
6000 STEVENSON AVE STE F, ALEXANDRIA, VA 22304-3563
(703) 461-4738
(703) 461-3552
Mailing address
6000 STEVENSON AVE STE F, ALEXANDRIA, VA 22304-3563
(703) 461-4738
(703) 461-3552
Taxonomy
Speciality
Code
Description
License number
State
261QD1600X
Developmental Disabilities Clinic/Center
Primary
—
—
261QH0100X
Health Service Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11079713
SCC
VA
Enumeration date
07/17/2020
Last updated
01/17/2023
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