| Full Name | Wmtc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 8427 Dorsey Cir, Manassas, Virginia |
| Authorized Official Name and Position | Carol Mcclelland (ASSISTANT PROGRAM DIRECTOR) |
| Authorized Official Contact | 7033307517 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Wmtc 8427 Dorsey Cir Manassas VA 20110-4596 Ph: (703) 330-7517 | Wmtc 8427 Dorsey Cir Manassas VA 20110-4596 Ph: (703) 330-7517 |
| NPI Number | 1053562066 |
|---|---|
| Provider Enumeration Date | 10/08/2008 |
| Last Update Date | 10/08/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053562066 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 089 (Virginia) | Primary |
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