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
MICHAEL CLARK (CHIEF ADMIN OFFICER)
(301) 589-0255
Entity
Organization
Contact information
Practice address
6525 N CHARLES ST STE 85, TOWSON, MD 21204-6872
(301) 589-0255
Mailing address
3919 NATIONAL DR STE 300, BURTONSVILLE, MD 20866-1180
(301) 589-0255
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
—
Other
Enumeration date
05/12/2020
Last updated
05/12/2020
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