| National Capital Treatment And Recovery | |
|
521 N. Quincy Street Arlington VA 22203 | |
| (703) 841-0703 | |
| (703) 243-0975 |
| Full Name | National Capital Treatment And Recovery |
|---|---|
| Speciality | Substance Abuse Rehabilitation Facility |
| Location | 521 N. Quincy Street, Arlington, Virginia |
| Authorized Official Name and Position | David Nicholas (REVENUE CYCLE DIRECTOR) |
| Authorized Official Contact | 7038258762 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| National Capital Treatment And Recovery 200 N Glebe Rd Ste 104 Arlington VA 22203-3755 Ph: (703) 841-0703 | National Capital Treatment And Recovery 521 N. Quincy Street Arlington VA 22203 Ph: (703) 841-0703 |
| NPI Number | 1558415968 |
|---|---|
| Provider Enumeration Date | 01/22/2007 |
| Last Update Date | 05/13/2024 |
| Certification Date | 03/12/2024 |
| Medicare PECOS PAC ID | 2567807647 |
|---|---|
| Medicare Enrollment ID | O20240228002560 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558415968 | NPI | - | NPPES |
| 004945051 | Medicaid | VA | |
| 092312 | Other | VALUE OPTIONS | |
| NX5 | Other | CAREFIRST | |
| 003005 | Other | MULTIPLAN |
| Provider Name | Susan Reynolds Spies |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417192139 PECOS PAC ID: 2860543451 Enrollment ID: I20090622000198 |
| Provider Name | Edner Charles |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396171385 PECOS PAC ID: 3678700549 Enrollment ID: I20140311000666 |
| Provider Name | Itunuoluwa I Alao |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497002836 PECOS PAC ID: 6608167713 Enrollment ID: I20160621001718 |
| Provider Name | Carolyn Raufer |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1427798032 PECOS PAC ID: 1850739228 Enrollment ID: I20240404000073 |
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