NPI 1023889052
Affect Provider Group, P.S.C.
Practice location
- Address
- 233 S 13th St STE 1900, Lincoln, NE 68508-2000
- Phone
- (845) 769-8758
- Mailing address
- 1640 Boro Pl Fl 4, Mc Lean, VA 22102-3627
Authorised official
- Name
- Karla Renee Mullings
- Title
- Director of Compliance
- Phone
- (845) 768-8758
Registered specialties
Substance Use Disorder Rehabilitation Clinic/Center
Primary
Registry record
- NPI
- 1023889052
- Entity type
- Organization
- NPI issued
- 9 Jan 2024
- Record last updated
- 9 Jan 2024
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.