Organization
MANASSAS ADDICTION CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NANCYE LYNN SADLER NP (PRESIDENT)
(703) 239-3602
Entity
Organization
Contact information
Practice address
9001 DIGGES RD STE 104, MANASSAS, VA 20110-4414
(703) 239-3602
(855) 888-8410
Mailing address
9001 DIGGES RD STE 104, MANASSAS, VA 20110-4414
(703) 239-3602
(855) 888-8410
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1508818790
—
VA
05
—
8951641
—
VA
Enumeration date
04/26/2019
Last updated
07/23/2021
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