Organization
MDK LLC
Active
Other names
Counseling for Recovery Growth & Welness
Organization subpart
No
Provider details
NPI number
Authorized official
MONICA D KLISZ (OWNER/PSYCHOTHERAPIST)
(804) 366-4330
Entity
Organization
Contact information
Practice address
3111 NORTHSIDE AVE STE 101, HENRICO, VA 23228-5441
(804) 366-4330
Mailing address
3111 NORTHSIDE AVE STE 101, HENRICO, VA 23228-5441
(804) 366-4330
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
01/08/2024
Last updated
02/21/2024
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