OrganizationActive
Servicesource,inc.
NPI 1447419742 · Voluntary or Charitable Agency · Alexandria, VA
Provider details
- NPI number
- 1447419742
- Entity type
- Organization
- Primary specialty
- Voluntary or Charitable AgencyAgencies
- Organization subpart
- No
- Authorized official
- Thomas Chang, Vice President Finance(703) 461-6000
Specialties & taxonomies
Agencies
Practice location
6295 Edsall Rd
Suite 175
Alexandria, VA 22312-2670
Phone: (703) 461-6000
Approximate (ZIP-level) locationGet directions
Mailing address
6295 Edsall Rd
Alexandria, VA 22312-2670
Registry dates
- Enumerated
- 2008-06-03
- Last updated
- 2008-06-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.