NPI 1033970603

Clementine Twin Lakes, LLC

Organisation Mental Health Clinic/Center (Including Community Mental Health Center) Mc Lean, VA

Practice location

Address: 8180 Greensboro Dr STE 375, Mc Lean, VA 22102-3888
Phone: (571) 569-4929
Fax: (571) 762-0865
Mailing address: 6100 SW 76th St, South Miami, FL 33143-5002

Authorised official

Name: Edward Moody
Title: Chief Financial Officer
Phone: (571) 334-3144

Registered specialties

Mental Health Clinic/Center (Including Community Mental Health Center) Primary

Ambulatory Health Care Facilities Taxonomy 261QM0801X

Other Clinic/Center providers in Virginia →

Registry record

NPI: 1033970603
Entity type: Organization
NPI issued: 19 Jan 2024
Record last updated: 26 Jun 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.