Organization
QUINTESSENCE RESOURCES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SAMARA MONTGOMERY (OWNER/CEO)
(301) 437-7204
Entity
Organization
Contact information
Practice address
3318 MEMORIAL ST, ALEXANDRIA, VA 22306-1545
(301) 437-7204
Mailing address
3318 MEMORIAL ST, ALEXANDRIA, VA 22306-1545
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
3032
VA
Other
Enumeration date
08/09/2018
Last updated
08/09/2018
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