Organization
EXTREME RECOVERY LLC
Active
Parent organization
EXTREME RECOVERY LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
EXTREME RECOVERY LLC
Authorized official
MR. MARCUS PRITCHETT (MANAGER)
(202) 427-8687
Entity
Organization
Contact information
Practice address
312 MONTGOMERY ST STE 206, ALEXANDRIA, VA 22314-1516
(202) 427-8687
Mailing address
312 MONTGOMERY ST STE 206, ALEXANDRIA, VA 22314-1516
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
03/09/2016
Last updated
03/09/2016
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