SPRINGFIELD TREATMENT CENTER LLC NPI 1871132142

NPI Information

SPRINGFIELD TREATMENT CENTER, LLC is a methadone clinic center in Springfield, IL. 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. SPRINGFIELD TREATMENT CENTER, LLC NPI is 1871132142. The provider is registered as an organization entity type.
The provider Is Doing Business As Medmark Treatment Centers Springfield.

The provider's business location address is:

1227 S 9TH ST
SPRINGFIELD, IL
ZIP 62703-524
Phone: (217) 679-1406
Fax: (217) 679-1545

The provider's authorized official is Michael Saul .
The authorized official title is Vp and has the following contact phone number (214) 379-3300.

The CLIA number assigned to this NPI record is 14D2254650 - other - narcotic trmt program with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/3/2020 and was last updated on 2/13/2024.

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:

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