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NPI Code Detail

MEDICARE: METRO BEHAVIORAL HEALTH SERVICES

MEDICARE: METRO BEHAVIORAL HEALTH SERVICES
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12084P0800XPsychiatry Physician0101239027VA

General Provider Information

NPI Number : 1578873469
Entity Type Code : Organization
Provider Name (Legal Business Name) : METRO BEHAVIORAL HEALTH SERVICES
Provider Business Mailing Address
First Line : 85 S. BRAGG ST.
Second Line : SUITE 100
City : ALEXANDRIA
State : VA
Zip : 22312-2793
Country : US
Telephone Number : 703-845-0700
Fax Number :
Provider Business Practice Location Address
First Line : 85 S. BRAGG ST.
Second Line : SUITE 100
City : ALEXANDRIA
State : VA
Zip : 22312-2793
Country : US
Telephone Number : 703-845-0700
Fax Number :
Authorized Official
Title or Position : PHYSICIAN
Name : GEBREHANA W. ZEBRO
Credential : M.D.
Telephone Number : 703-845-0700
Provider Enumeration Date : 10/14/2010
Last Update Date : 11/15/2011

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Directions to “METRO BEHAVIORAL HEALTH SERVICES ” Practice Location

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