CLEMENTINE TWIN LAKES, LLC is an adolescent and children mental health clinic center in Clifton, VA. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training. CLEMENTINE TWIN LAKES, LLC NPI is 1801375118. The provider is registered as an organization entity type.
The provider's business location address is:
13215 TWIN LAKES DR
CLIFTON, VA
ZIP 20124-215
Phone: (305) 663-1876
Fax: (914) 479-5490
The provider's authorized official is Mike Bagley .
The authorized official title is Chief Financial Officer and has the following contact phone number (305) 663-1876.
The CLIA number assigned to this NPI record is 49D2156352 - other - residential treat fac with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 8/8/2018 and was last updated on 3/20/2020.