Organization
AQUILA RECOVERY CHARTERED
Active
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
Update your record
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