Organization
ALPHA MEDICAL & BEHAVIORAL HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RUBY ANUMAH (NURE PRACTITIONER)
(571) 275-3125
Entity
Organization
Contact information
Practice address
800 CORPORATE DR STE 301, STAFFORD, VA 22554-4889
(571) 398-0473
Mailing address
800 CORPORATE DR STE 301, STAFFORD, VA 22554-4889
(571) 398-0473
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1255698635
—
VA
Enumeration date
06/29/2022
Last updated
03/15/2023
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