Provider Demographics
NPI:1578873469
Name:METRO BEHAVIORAL HEALTH SERVICES
Entity Type:Organization
Organization Name:METRO BEHAVIORAL HEALTH SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:
Authorized Official - First Name:GEBREHANA
Authorized Official - Middle Name:W
Authorized Official - Last Name:ZEBRO
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:703-845-0700
Mailing Address - Street 1:85 S. BRAGG ST.
Mailing Address - Street 2:SUITE 100
Mailing Address - City:ALEXANDRIA
Mailing Address - State:VA
Mailing Address - Zip Code:22312-2793
Mailing Address - Country:US
Mailing Address - Phone:703-845-0700
Mailing Address - Fax:
Practice Address - Street 1:85 S. BRAGG ST.
Practice Address - Street 2:SUITE 100
Practice Address - City:ALEXANDRIA
Practice Address - State:VA
Practice Address - Zip Code:22312-2793
Practice Address - Country:US
Practice Address - Phone:703-845-0700
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-10-14
Last Update Date:2011-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA01012390272084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Single Specialty