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MUNCIE TREATMENT CENTER LLC NPI 1205477957


NPI Information

NPI: 1205477957
Provider Name: MUNCIE TREATMENT CENTER, LLC

Doing Business As: MUNCIE COMPREHENSIVE TREATMENT CENTER

Classification: Clinic/Center - 261QM2800X
Entity Type: Organization

Specialization: Methadone

CLIA Number: 15D2170652

Address:
3640 BRIARWOOD LANE
MUNCIE, IN
ZIP 47304
Phone: (800) 691-8210
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MUNCIE TREATMENT CENTER, LLC is a methadone clinic center in Muncie, 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. MUNCIE TREATMENT CENTER, LLC NPI is 1205477957. The provider is registered as an organization entity type.
The provider Is Doing Business As Muncie Comprehensive Treatment Center.

The provider's business location address is:

3640 BRIARWOOD LANE
MUNCIE, IN
ZIP 47304
Phone: (800) 691-8210

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 15D2170652 - comp. outpatient rehab facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/3/2019 and was last updated on 8/11/2023.


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:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QR0405XClinic/CenterRehabilitation, Substance Use DisorderNo
2261QM2800XClinic/CenterMethadoneYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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