Healthcare Provider Details
I. General information
NPI: 1033964507
Provider Name (Legal Business Name): ALLIGN HEALTHCARE SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 04/18/2024
Last Update Date: 04/18/2024
Certification Date: 04/18/2024
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1818 NEW YORK AVE NE STE 116
WASHINGTON DC
20002-1803
US
IV. Provider business mailing address
1818 NEW YORK AVE NE STE 116
WASHINGTON DC
20002-1803
US
V. Phone/Fax
- Phone: 202-993-8687
- Fax:
- Phone: 202-993-8687
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 261QM0850X |
| Taxonomy | Adult Mental Health Clinic/Center |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: MRS.
MAYA
ALLY
CHEYO
Title or Position: DIRECTOR
Credential:
Phone: 202-993-8687