| Commonwealth Mental Health Assoc | |
|
8322 D Traford Lane Springfield VA 22152 | |
| (703) 913-3503 | |
| (703) 913-1193 |
| Full Name | Commonwealth Mental Health Assoc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 8322 D Traford Lane, Springfield, Virginia |
| Authorized Official Name and Position | Mark Anthony Rutkowski (PRESIDENT) |
| Authorized Official Contact | 7035692168 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Commonwealth Mental Health Assoc 8322 D Traford Lane Springfield VA 22152 Ph: (703) 913-3503 | Commonwealth Mental Health Assoc 8322 D Traford Lane Springfield VA 22152 Ph: (703) 913-3503 |
| NPI Number | 1679796239 |
|---|---|
| Provider Enumeration Date | 04/11/2007 |
| Last Update Date | 07/21/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679796239 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (Virginia) | Primary |
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