Organization
KOLMAC CLINIC LLC
Active
Parent organization
KOLMAC CLINIC LLC
Other names
Kolmac Outpatient Recovery Centers
Organization subpart
Yes
Provider details
NPI number
Legal business name
KOLMAC CLINIC LLC
Authorized official
KEONNA ARMSTRONG (VP RCM)
(667) 239-3309
Entity
Organization
Contact information
Practice address
3905 NATIONAL DR STE 200, BURTONSVILLE, MD 20866-6143
(667) 239-3309
Mailing address
3905 NATIONAL DR STE 200, BURTONSVILLE, MD 20866-6143
(667) 239-3309
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
—
Other
Enumeration date
04/22/2020
Last updated
10/06/2022
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