MSRC One, LLC

Key facts

NPI

1568242519

Entity type

Organization (NPI type 2)

Primary specialty

Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X

Legal business name

MSRC ONE, LLC

Practice address

18300 Quantico Gateway Dr Ste 202
Triangle, VA 22172-1798

Phone

(571) 774-9910

NPI assigned

Oct 5, 2023

Organization subpart

Yes

Parent organization (as reported)

MSRC ONE, LLC

Authorized official

Name

Casey Papp

Title

Corporate Compliance Counsel

Phone

(954) 818-0531

Corporate family (same tax ID) 4

Organizations that report the same tax identification number in the National Provider Directory.

• MSRC One, LLC Substance Abuse Rehabilitation Facility · Dumfries, VA · NPI 1144948464
  NPD tax ID
• MSRC One, LLC Substance Abuse Rehabilitation Facility · Triangle, VA · NPI 1255200341
  NPD tax ID
• MSRC One, LLC Community/Behavioral Health Agency · Triangle, VA · NPI 1356210439
  NPD tax ID
• MSRC One, LLC Substance Abuse Rehabilitation Facility · Dumfries, VA · NPI 1972383925
  NPD tax ID

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jeffrey A Gall, MD Emergency Medicine Physician · Dumfries, VA · NPI 1578530143
  NPD (past)

National Provider Directory

Tax ID family

MSRC One LLC (5 organizations share this tax ID)

Part of

MSRC One LLC

Locations

Specialties & licenses

Addresses

Other providers in Triangle, VA

• Milicent Ann Mack, LMSW
• Mentevo LLC
• Santana Patricia Miranda, RN L#0001310361
• MSRC One, LLC
• MSRC One, LLC
• Alyse Nanetta Munoz, EDD, LCSW
• Maria Rosario Bustamante Nanoz
• Raissa Rella Ngwa Vemombih
• Novert Nyah
• Romanus L Nzengung

All providers in Triangle, VA · Substance Use Disorder Rehabilitation Clinic/Center in Virginia