KOLMAC CLINIC LLC NPI 1275155335

NPI Information

KOLMAC CLINIC, LLC is a rehabilitation and substance use disorder clinic center in Towson, MD. KOLMAC CLINIC, LLC NPI is 1275155335. The provider is registered as an organization entity type.

The provider's business location address is:

6525 N CHARLES ST STE 85
TOWSON, MD
ZIP 21204-872
Phone: (301) 589-0255

The provider's authorized official is Michael Clark .
The authorized official title is Chief Admin Officer and has the following contact phone number (301) 589-0255.

The enumeration date for this NPI number is 5/12/2020 and was last updated on 5/12/2020.

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:

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