Commonwealth Mental Health Assoc
NPI #1679796239 in Springfield, Virginia
Provider Information
- NPI Number
- 1679796239
- Entity Type
- Organization
- Organization Name
- Commonwealth Mental Health Assoc
- Primary Specialty
- Social Worker - Clinical
- Enumeration Date
- Apr 11, 2007
- Last Updated
- Jul 21, 2022
Practice Location
- Address
- 8322 D TRAFORD LANE
- City
- Springfield
- State
- Virginia
- ZIP Code
- 22152
- Phone
- (703) 913-3503
Authorized Official
- Name
- MR. MARK ANTHONY RUTKOWSKI, LCSW
- Title
- PRESIDENT
- Phone
- (703) 569-2168
Specialties & Taxonomy Codes
| Specialty |
|---|
| Social Worker - Clinical — Clinical |
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