Alta Healthcare Services, INC.
Clinic/Center, Mental Health (Including Community Mental Health Center) in Gaithersburg, MD. Organization (NPI-2).
NPI number1144877549
StatusActive
Last updated in NPPESAug 20, 2019
Details
- NPI
- 1144877549
- Entity type
- Organization (NPI-2)
- Legal business name
- Alta Healthcare Services, INC.
- Organization subpart
- No
- Enumeration date
- Aug 20, 2019
- Last updated
- Aug 20, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QM0801X | Clinic/Center, Mental Health (Including Community Mental Health Center) | – | – | Yes |
Practice location
101 Lakeforest Blvd Ste 250Gaithersburg, MD 20877-2633
Phone 240-801-9818
Mailing address
101 Lakeforest Blvd Ste 250Gaithersburg, MD 20877-2633
Phone 240-801-9818
Authorized official
Hannah Dibonge
Administrator
2405061728
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