NPI | 1275155335 |
---|---|
Doing Business As | KOLMAC OUTPATIENT RECOVERY CENTERS |
Entity Type | Organization |
Authorized Contact | MICHAEL CLARK Chief Admin Officer 301-589-0255 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
Enumeration Date | 2020-05-12 |
Last Update Date | 2020-05-12 |