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Organization

NATIONAL CAPITAL TREATMENT AND RECOVERY-MARYLAND

Active
Parent organization
NATIONAL CAPITAL TREATMENT AND RECOVERY
Organization subpart
Yes

Provider details

NPI number
Legal business name
NATIONAL CAPITAL TREATMENT AND RECOVERY
Authorized official
DAVID NICHOLAS (REVENUE CYCLE DIRECTOR)
(703) 825-8762
Entity
Organization

Contact information

Practice address
2503 VIOLET AVE FL 6, BALTIMORE, MD 21215-7700
(703) 841-0703
Mailing address
200 N GLEBE RD STE 104, ARLINGTON, VA 22203-3755
(703) 841-0703

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
363LF0000X
Family Nurse Practitioner

Other

Enumeration date
08/07/2023
Last updated
06/07/2024
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