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Organization

AQUILA RECOVERY CHARTERED

Active
Other names
Aquila Recovery
Organization subpart
No

Provider details

NPI number
Authorized official
MR. ROBERT R. COFFEY (VICE PRESIDENT AND PRACTICE MANAGER)
(202) 244-0962
Entity
Organization

Contact information

Practice address
4455 CONNECTICUT AVE NW, SUITE 350, WASHINGTON, DC 20008-2324
(202) 244-0962
Mailing address
4455 CONNECTICUT AVE NW, SUITE 350, WASHINGTON, DC 20008-2324
(202) 244-0962

Taxonomy

Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
110211A-225
DC

Other

Enumeration date
12/31/2011
Last updated
12/31/2011
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