Organization
NATIONAL CAPITAL TREATMENT AND RECOVERY
Active
Parent organization
NATIONAL CAPITAL TREATMENT AND RECOVERY
Other names
Phoenix Program
Organization subpart
Yes
Provider details
NPI number
Legal business name
NATIONAL CAPITAL TREATMENT AND RECOVERY
Authorized official
DAVID NICHOLAS (DIRECTOR OF REVENUE CYCLE)
(703) 825-8762
Entity
Organization
Contact information
Practice address
521 N QUINCY ST, ARLINGTON, VA 22203-2136
(703) 841-0703
(703) 243-0975
Mailing address
200 N GLEBE RD, SUITE 104, ARLINGTON, VA 22203-3728
(703) 841-0703
(703) 243-0975
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
122-01-033
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
12201043
—
VA
Enumeration date
02/22/2016
Last updated
04/20/2022
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