Kolmac Clinic, LLC

NPI #1346862562 in Arlington, Virginia

Provider Information

NPI Number
1346862562
Entity Type
Organization
Organization Name
Kolmac Clinic, LLC
Subpart
Yes (part of a larger organization)
Parent Organization
KOLMAC CLINIC, LLC
Primary Specialty
Clinic/Center - Rehabilitation, Substance Use Disorder
Enumeration Date
May 11, 2020
Last Updated
May 11, 2020

Practice Location

Address
1701 CLARENDON BLVD STE 100
ZIP Code
22209-2700
Phone
(301) 589-0255

Authorized Official

Name
MICHAEL CLARK
Title
CHIEF ADMIN OFFICER
Phone
(301) 589-0255

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Rehabilitation, Substance Use DisorderRehabilitation, Substance Use Disorder

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