Organization
NATIONAL CAPITAL TREATMENT AND RECOVERY
Active
Parent organization
NATIONAL CAPITAL TREATMENT AND RECOVERY
Other names
Demeter House
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
4317 6TH ST S, ARLINGTON, VA 22204-1411
(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
122-01-007
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
12201043
—
VA
01
—
1558415968
NPI
VA
Enumeration date
09/18/2014
Last updated
04/20/2022
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