| Fccr Fredericksburg | |
|
11720 Main St Ste 108 Fredericksburg VA 22408 | |
| (540) 735-9350 | |
| Not Available |
| Full Name | Fccr Fredericksburg |
|---|---|
| Speciality | Clinic/center - Methadone |
| Location | 11720 Main St Ste 108, Fredericksburg, Virginia |
| Authorized Official Name and Position | Robyn Tanis (EXECUTIVE DIRECTOR OF CONTRACT MGMT) |
| Authorized Official Contact | 8565338762 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Fccr Fredericksburg 1317 Route 73 Mount Laurel NJ 08054-2202 Ph: (856) 533-8762 | Fccr Fredericksburg 11720 Main St Ste 108 Fredericksburg VA 22408 Ph: (540) 735-9350 |
| NPI Number | 1356854277 |
|---|---|
| Provider Enumeration Date | 11/14/2017 |
| Last Update Date | 11/21/2023 |
| Certification Date | 11/21/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356854277 | NPI | - | NPPES |
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