| Alta Healtcare Services | |
|
101 Lakeforest Blvd Ste 250 Gaithersburg MD 20877-2633 | |
| (240) 506-1728 | |
| Not Available |
| Full Name | Alta Healtcare Services |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 101 Lakeforest Blvd Ste 250, Gaithersburg, Maryland |
| Authorized Official Name and Position | Hannah Dibonge (OWNER) |
| Authorized Official Contact | 2405061728 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Alta Healtcare Services 21506 Manor View Cir Germantown MD 20876-5924 Ph: () - | Alta Healtcare Services 101 Lakeforest Blvd Ste 250 Gaithersburg MD 20877-2633 Ph: (240) 506-1728 |
| NPI Number | 1265943781 |
|---|---|
| Provider Enumeration Date | 10/24/2017 |
| Last Update Date | 06/16/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265943781 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | MH-2371 (Maryland) | Primary |
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