Provider Type Icon

KOLMAC CLINIC LLC NPI 1184638512


NPI Information

NPI: 1184638512
Provider Name: KOLMAC CLINIC, LLC

Doing Business As: KOLMAC OUTPATIENT RECOVERY CENTERS

Classification: Clinic/Center - 261QR0405X
Entity Type: Organization

Specialization: Rehabilitation, Substance Use Disorder

Address:
8561 FENTON ST STE 250
SILVER SPRING, MD
ZIP 20910
Phone: (301) 589-0255
Get Directions

KOLMAC CLINIC, LLC is a rehabilitation and substance use disorder clinic center in Silver Spring, MD. KOLMAC CLINIC, LLC NPI is 1184638512. The provider is registered as an organization entity type.
The provider Is Doing Business As Kolmac Outpatient Recovery Centers.

The provider's business location address is:

8561 FENTON ST STE 250
SILVER SPRING, MD
ZIP 20910-483
Phone: (301) 589-0255
Fax: (301) 589-0291

The provider's authorized official is Michael J Clark .
The authorized official title is Director Of Operations and has the following contact phone number (301) 589-0255.

The enumeration date for this NPI number is 7/28/2006 and was last updated on 7/23/2021.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QR0405XClinic/CenterRehabilitation, Substance Use DisorderBH000038MARYLANDYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.