| Washington Behavioral Health, Pc | |
|
1954 Opitz Blvd Unit 7 Woodbridge VA 22191-3304 | |
| (703) 492-2924 | |
| Not Available |
| Full Name | Washington Behavioral Health, Pc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 1954 Opitz Blvd, Woodbridge, Virginia |
| Authorized Official Name and Position | Husam K. Alathari (OWNER/DIRECTOR) |
| Authorized Official Contact | 7034922924 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Washington Behavioral Health, Pc 1954 Opitz Blvd Unit 7 Woodbridge VA 22191-3304 Ph: (703) 492-2924 | Washington Behavioral Health, Pc 1954 Opitz Blvd Unit 7 Woodbridge VA 22191-3304 Ph: (703) 492-2924 |
| NPI Number | 1083854392 |
|---|---|
| Provider Enumeration Date | 02/26/2009 |
| Last Update Date | 02/26/2009 |
| Medicare PECOS PAC ID | 9537210117 |
|---|---|
| Medicare Enrollment ID | O20090622000067 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083854392 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 99461291 (Virginia) | Primary |
| Provider Name | Husam K Alathari |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1477574549 PECOS PAC ID: 7810048592 Enrollment ID: I20090622000061 |
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