Extreme Recovery Llc | |
312 Montgomery St Ste 206 Alexandria VA 22314-1516 | |
(202) 427-8687 | |
Not Available |
Full Name | Extreme Recovery Llc |
---|---|
Speciality | Community/behavioral Health |
Location | 312 Montgomery St Ste 206, Alexandria, Virginia |
Authorized Official Name and Position | Marcus Pritchett (MANAGER) |
Authorized Official Contact | 2024278687 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Extreme Recovery Llc 312 Montgomery St Ste 206 Alexandria VA 22314-1516 Ph: () - | Extreme Recovery Llc 312 Montgomery St Ste 206 Alexandria VA 22314-1516 Ph: (202) 427-8687 |
NPI Number | 1336500040 |
---|---|
Provider Enumeration Date | 03/09/2016 |
Last Update Date | 03/09/2016 |
Identifier | Type | State | Issuer |
---|---|---|---|
1336500040 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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