| Aquila Recovery | |
|
4455 Connecticut Ave Nw Suite 350 Washington DC 20008-2324 | |
| (202) 244-0962 | |
| Not Available |
| Full Name | Aquila Recovery |
|---|---|
| Speciality | Clinic/center |
| Location | 4455 Connecticut Ave Nw, Washington, District Of Columbia |
| Authorized Official Name and Position | Robert R. Coffey (VICE PRESIDENT AND PRACTICE MANAGER) |
| Authorized Official Contact | 2022440962 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Aquila Recovery 4455 Connecticut Ave Nw Suite 350 Washington DC 20008-2324 Ph: (202) 244-0962 | Aquila Recovery 4455 Connecticut Ave Nw Suite 350 Washington DC 20008-2324 Ph: (202) 244-0962 |
| NPI Number | 1134499635 |
|---|---|
| Provider Enumeration Date | 12/31/2011 |
| Last Update Date | 12/31/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134499635 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 110211A-225 (District Of Columbia) | Primary |
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