| Alternative House - The Abused And Homeless Children's Refuge | |
|
2100 Gallows Rd Vienna VA 22182-3910 | |
| (703) 506-9191 | |
| (703) 506-8949 |
| Full Name | Alternative House - The Abused And Homeless Children's Refuge |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 2100 Gallows Rd, Vienna, Virginia |
| Authorized Official Name and Position | Judith Dittman (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 7035069191 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Alternative House - The Abused And Homeless Children's Refuge Po Box 694 Dunn Loring VA 22027-0694 Ph: (703) 506-9191 | Alternative House - The Abused And Homeless Children's Refuge 2100 Gallows Rd Vienna VA 22182-3910 Ph: (703) 506-9191 |
| NPI Number | 1750652764 |
|---|---|
| Provider Enumeration Date | 01/23/2012 |
| Last Update Date | 01/23/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750652764 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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