Provider Demographics
NPI:1235284019
Name:ALPHA CENTER FOR TREATMENT
Entity Type:Organization
Organization Name:ALPHA CENTER FOR TREATMENT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BUSINESS OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:SARAH
Authorized Official - Middle Name:
Authorized Official - Last Name:DEALBA
Authorized Official - Suffix:
Authorized Official - Credentials:CFA
Authorized Official - Phone:425-483-4664
Mailing Address - Street 1:10614 BEARDSLEE BLVD
Mailing Address - Street 2:
Mailing Address - City:BOTHELL
Mailing Address - State:WA
Mailing Address - Zip Code:98011-3279
Mailing Address - Country:US
Mailing Address - Phone:425-483-4664
Mailing Address - Fax:
Practice Address - Street 1:10614 BEARDSLEE BLVD
Practice Address - Street 2:SUITE D
Practice Address - City:BOTHELL
Practice Address - State:WA
Practice Address - Zip Code:98011-3279
Practice Address - Country:US
Practice Address - Phone:425-483-4664
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-24
Last Update Date:2008-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA261QM0850X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health