| Multicultural Clinical Center | |
|
6563 Edsall Rd Springfield VA 22151-4414 | |
| (703) 354-0000 | |
| (703) 354-1129 |
| Full Name | Multicultural Clinical Center |
|---|---|
| Speciality | Counselor |
| Location | 6563 Edsall Rd, Springfield, Virginia |
| Authorized Official Name and Position | Rebecca Keegan (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 7033540000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Multicultural Clinical Center 6563 Edsall Rd Springfield VA 22151-4414 Ph: (703) 354-0000 | Multicultural Clinical Center 6563 Edsall Rd Springfield VA 22151-4414 Ph: (703) 354-0000 |
| NPI Number | 1952360612 |
|---|---|
| Provider Enumeration Date | 03/21/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952360612 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | 123 (Virginia) | Primary |
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