Clementine Twin Lakes, LLC
NPI #1801375118 in Clifton, Virginia
Provider Information
- NPI Number
- 1801375118
- Entity Type
- Organization
- Organization Name
- Clementine Twin Lakes, LLC
- Primary Specialty
- Psychiatric Residential Treatment Facility
- Enumeration Date
- Aug 8, 2018
- Last Updated
- Oct 16, 2025
Practice Location
Authorized Official
- Name
- MR. MIKE BAGLEY
- Title
- CHIEF FINANCIAL OFFICER
- Phone
- (305) 663-1876
Specialties & Taxonomy Codes
| Specialty |
|---|
| Community Based Residential Treatment Facility, Mental Illness |
| Clinic/Center - Adolescent and Children Mental Health — Adolescent and Children Mental Health |
| Psychiatric Residential Treatment Facility |
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