Organization
A & C SUPPORT SERVICES INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. EBONY HOUZE (CEO)
(703) 659-8404
Entity
Organization
Contact information
Practice address
1602 BELLE VIEW BLVD # 3015, ALEXANDRIA, VA 22307-6531
(703) 659-8404
Mailing address
1602 BELLE VIEW BLVD # 3015, ALEXANDRIA, VA 22307-6531
(540) 307-1054
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
251S00000X
Community/Behavioral Health Agency
—
—
251X00000X
Supports Brokerage Agency
—
—
252Y00000X
Early Intervention Provider Agency
—
—
253Z00000X
In Home Supportive Care Agency
—
—
302F00000X
Exclusive Provider Organization
—
—
Other
Enumeration date
04/04/2018
Last updated
12/08/2020
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