NPI | 1184638512 |
---|---|
Doing Business As | KOLMAC OUTPATIENT RECOVERY CENTERS |
Entity Type | Organization |
Authorized Contact | MICHAEL J CLARK Director Of Operations 301-589-0255 |
Organization Subpart ? | No |
Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder (Licence: MD BH000038) |
Enumeration Date | 2006-07-28 |
Last Update Date | 2021-07-23 |