CATALYST RECOVERY AND WELLNESS LLC


Address: 9309 Center St Ste 101, Manassas, VA 20110-5599
Phone: 7035461834

CATALYST RECOVERY AND WELLNESS LLC (NPI# 1598306649) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1598306649
Entity Type Organization
Organization Name CATALYST RECOVERY AND WELLNESS LLC
Practice Address 9309 Center St Ste 101
Manassas
VA 20110-5599
Practice Telephone 7035461834
Practice Fax Number 5713365464
Mailing Telephone 7035461834
Mailing Fax Number 5713365464
Enumeration Date 2019-09-30
Last Update Date 2019-09-30
Authorized Official Name JUDY JACOB (CO-FOUNDER)
Authorized Official Telephone 7035461834
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QR0405X Clinic/Center
Specialization: Rehabilitation, Substance Use Disorder
Ambulatory Health Care Facilities

Office Location

Street Address 9309 CENTER ST STE 101
City MANASSAS
State VA
Zip Code 20110-5599

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1184246787 Sini Eapen Nurse Practitioner 9380 Forestwood Lane, 9380 Unit B, Manassas, VA 20110 2020-05-18
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1962904573 Donielle Francis Specialist/Technologist 10420 Monterosa Pl, Manassas, VA 20110 2018-02-28
1003332354 Katrina Kask Occupational Therapist 6985 Centreville Rd., Manassas, VA 20110 2017-08-18
1477091478 Mega Health Services, Inc General Practice 9602 Champion Ct, Manassas, VA 20110 2017-02-09
1811340599 Malik Usman Dds, PC Dentist 8559 Sudley Road, Manassas, VA 20110 2016-07-19
1871944660 Chitra Subbaraj Physical Therapist 8595 Centreville Rd, Manassas, VA 20110 2016-06-23
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1851770366 Candace Fleming Counselor 9242b Mosby St, Manassas, VA 20110 2015-05-29
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Taxonomy Information

Taxonomy Code 261QR0405X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Rehabilitation, Substance Use Disorder

Taxonomy Definition

Definition to come...

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1225692015 Manassas Addiction Center LLC Clinic/Center 8609 Sudley Rd Ste 204, Manassas, VA 20110-4500 2019-04-26

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1073164539 Southwest Virginia Community Health Systems Inc Clinic/Center 416 E Main St Rm 2, Marion, VA 24354-3318 2019-09-26
1134783194 First Step Medical LLC Clinic/Center 754 East Main St., Lebanon, VA 24266-5014 2019-04-25
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1881132231 Cmb Holdings Clinic/Center 4420 Fairfax Dr, Suite 100, Arlington, VA 22203-1645 2017-02-06
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Competitor

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City MANASSAS
Zip Code 20110

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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