Provider Demographics
NPI:1043060296
Name:ALBRYTE BEHAVIORAL HEALTH LLC
Entity Type:Organization
Organization Name:ALBRYTE BEHAVIORAL HEALTH LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ELIKEM
Authorized Official - Middle Name:E
Authorized Official - Last Name:ADDAE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:703-485-5006
Mailing Address - Street 1:6130 OXON HILL RD STE 101C
Mailing Address - Street 2:
Mailing Address - City:OXON HILL
Mailing Address - State:MD
Mailing Address - Zip Code:20745-3166
Mailing Address - Country:US
Mailing Address - Phone:240-414-4003
Mailing Address - Fax:
Practice Address - Street 1:6130 OXON HILL RD STE 101C
Practice Address - Street 2:
Practice Address - City:OXON HILL
Practice Address - State:MD
Practice Address - Zip Code:20745-3166
Practice Address - Country:US
Practice Address - Phone:240-414-4003
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-03-22
Last Update Date:2024-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty