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Active NPI 1568242519 Organization (Entity Type 2) Subpart Facility

Msrc One, Llc

Clinic/Center - Rehabilitation, Substance Use Disorder • Triangle, VA

Parent Organization: Msrc One, Llc

About Msrc One, Llc NPI 1568242519 Summary

Msrc One, Llc is a verified healthcare organization specializing in Clinic/Center - Rehabilitation, Substance Use Disorder operating in Triangle, VA. Located at 18300 QUANTICO GATEWAY DR STE 202, this facility provides patient care and medical services under National Provider Identifier (NPI) 1568242519.

Msrc One, Llc operates as a subpart facility of Msrc One, Llc. Administrative operations and authorized compliance are overseen by Casey Papp (Corporate Compliance Counsel).

In addition to its main center, the organization maintains 1 secondary practice location in the region.

Facility Location & Contact Primary Location

Facility Address

18300 Quantico Gateway Dr Ste 202

Triangle, VA 221721798

Telephone 5717749910

Authorized Official Information

Authorized Contact Name

Casey Papp

Title / Role

Corporate Compliance Counsel

Official Telephone

9548180531

Facility Classifications & Specialties

Clinic/Center - Rehabilitation, Substance Use Disorder Primary Taxonomy

NUCC Taxonomy Code: 261QR0405X

Definition to come...

Secondary Facility Locations

Verified branch offices, satellite clinics, and regional practice locations

1 Branches

620a Court St

Lynchburg, VA 245041312

Phone: 4348106910

Facility & Registry History Timeline

Chronological log of verified NPI organization updates, branch relocations, and registry updates

10 Historical Events

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Updated Business Mailing Address September 29, 2025

Registered at 23 WALKER AVE STE 300, BALTIMORE, MD 212084004 (Tel: 9548180531)

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Updated Practice Location April 11, 2024

Registered at 18300 QUANTICO GATEWAY DR STE 202, TRIANGLE, VA 221721798 (Tel: 5717749910)

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Organization / Clinic Name Updated April 11, 2024

Operating as MSRC ONE, LLC

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Medical Taxonomy / Specialty Registered (Primary Specialty) April 11, 2024

Clinic/Center

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NPI Profile Active October 05, 2023

NPI status registered as active in NPPES database

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Updated Practice Location October 05, 2023

Registered at 18300 QUANTICO GATEWAY DR, TRIANGLE, VA 221721798 (Tel: 5717749910)

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Updated Business Mailing Address October 05, 2023

Registered at 18300 QUANTICO GATEWAY DR, TRIANGLE, VA 221721798 (Tel: 5717749910)

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Organization / Clinic Name Updated October 05, 2023

Operating as MSRC1 LLC

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Medical Taxonomy / Specialty Registered (Primary Specialty) October 05, 2023

Day Training/Habilitation Specialist

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Initial NPI Registration & Enumeration October 05, 2023

First registered as active Healthcare Organization in NPPES Database.

Patient & Community Reviews

Verified patient ratings, healthcare experiences, and facility photos

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NPI Organization Metadata

NPI Number: 1568242519

Entity Type:

Organization Organization (Hospital, Clinic, Group Practice) (Type 2 NPI)

Enumeration Date: October 05, 2023

Last Update: September 29, 2025

Update or Correct Listing

Mailing Address

23 Walker Ave Ste 300

Baltimore, MD 212084004

Phone: 9548180531

Public Domain Record This organization profile is sourced from public domain datasets published by CMS and NPPES under FOIA.

⚠️ Medical Disclaimer

Facility details are provided for public information only. In case of a medical emergency, call 911 immediately.