Organization
KOLMAC CLINIC, LLC
Active
Other names
Kolmac Outpatient Recovery Centers
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL J CLARK (DIRECTOR OF OPERATIONS)
(301) 589-0255
Entity
Organization
Contact information
Practice address
8561 FENTON ST STE 250, SILVER SPRING, MD 20910-4483
(301) 589-0255
(301) 589-0291
Mailing address
3919 NATIONAL DR STE 300, BURTONSVILLE, MD 20866-1180
(301) 589-0255
(301) 589-0291
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
BH000038
MD
Other
Enumeration date
07/28/2006
Last updated
07/23/2021
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