Provider Demographics
NPI:1265494207
Name:CENTER FOR MULTICULTURAL HUMAN SERVICES
Entity Type:Organization
Organization Name:CENTER FOR MULTICULTURAL HUMAN SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ACTING EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:REBECCA
Authorized Official - Middle Name:
Authorized Official - Last Name:GABA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:703-533-3302
Mailing Address - Street 1:701 W BROAD ST
Mailing Address - Street 2:305
Mailing Address - City:FALLS CHURCH
Mailing Address - State:VA
Mailing Address - Zip Code:22046-3220
Mailing Address - Country:US
Mailing Address - Phone:703-533-3302
Mailing Address - Fax:703-237-2083
Practice Address - Street 1:701 W BROAD ST
Practice Address - Street 2:305
Practice Address - City:FALLS CHURCH
Practice Address - State:VA
Practice Address - Zip Code:22046-3220
Practice Address - Country:US
Practice Address - Phone:703-533-3302
Practice Address - Fax:703-237-2083
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-04-05
Last Update Date:2007-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA108101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA013658OtherANTHEM
VAPV46121OtherAPS
VA307959OtherAMERIGROUP
VA8562542OtherAETNA
VA8562542OtherAETNA