Organization
MULTICULTURAL CLINICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. REBECCA KEEGAN (EXECUTIVE DIRECTOR)
(703) 354-0000
Entity
Organization
Contact information
Practice address
6563 EDSALL RD, SPRINGFIELD, VA 22151-4414
(703) 354-0000
Mailing address
6563 EDSALL RD, SPRINGFIELD, VA 22151-4414
(703) 354-0000
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
1952360612
VA
Other
Enumeration date
10/08/2009
Last updated
10/08/2009
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