EVANSVILLE TREATMENT CENTER LLC NPI 1194878587

NPI Information

EVANSVILLE TREATMENT CENTER, LLC is a methadone clinic center in Evansville, IN. The provider is an entity, facility, or distinct part of a facility providing diagnostic, and replacement maintenance treatment services related to individuals with drug addiction. EVANSVILLE TREATMENT CENTER, LLC NPI is 1194878587. The provider is registered as an organization entity type.

The provider's business location address is:

1510 W FRANKLIN ST
EVANSVILLE, IN
ZIP 47710-032
Phone: (812) 424-0223
Fax: (812) 424-0226

The provider's authorized official is Brian Phillip Farley .
The authorized official title is Vp & Secretary and has the following contact phone number (615) 861-6000.

The CLIA number assigned to this NPI record is 15D1045765 - comp. outpatient rehab facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/19/2007 and was last updated on 8/10/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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