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NATIONAL CAPITAL TREATMENT AND RECOVERY NPI 1265891006


NPI Information

NPI: 1265891006
Provider Name: NATIONAL CAPITAL TREATMENT AND RECOVERY

Other Name: PHOENIX PROGRAM

Classification: Substance Abuse Rehabilitation Facility - 324500000X
Entity Type: Organization
Address:
521 N QUINCY ST
ARLINGTON, VA
ZIP 22203
Phone: (703) 841-0703
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NATIONAL CAPITAL TREATMENT AND RECOVERY is a substance abuse rehabilitation facility in Arlington, VA. The provider is a facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances. NATIONAL CAPITAL TREATMENT AND RECOVERY NPI is 1265891006. The provider is registered as an organization entity type.
The provider Other Name Is Phoenix Program.

The provider's business location address is:

521 N QUINCY ST
ARLINGTON, VA
ZIP 22203-136
Phone: (703) 841-0703
Fax: (703) 243-0975

The provider's authorized official is David Nicholas .
The authorized official title is Director Of Revenue Cycle and has the following contact phone number (703) 825-8762.

The enumeration date for this NPI number is 2/22/2016 and was last updated on 4/20/2022.


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
1324500000XSubstance Abuse Rehabilitation Facility122-01-033VIRGINIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
112201043MEDICAIDVIRGINIA

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

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