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ANCHOR OF HOPE OPIOID TREATMENT PROGRAM INC NPI 1003511213


NPI Information

NPI: 1003511213
Provider Name: ANCHOR OF HOPE OPIOID TREATMENT PROGRAM INC

Doing Business As: ANCHOR OF HOPE OTP

Classification: Preventive Medicine - 2083A0300X
Entity Type: Organization

Specialization: Addiction Medicine

CLIA Number: 45D2168069

Address:
2307 SPRINGLAKE RD STE 500
FARMERS BRANCH, TX
ZIP 75234
Phone: (469) 291-5288
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ANCHOR OF HOPE OPIOID TREATMENT PROGRAM INC is an addiction medicine preventive medicine in Farmers Branch, TX. The provider is a physician engaged in the subspecialty practice of Addiction Medicine who specializes in the prevention, evaluation, diagnosis, treatment, and recovery of persons with the disease of addiction. ANCHOR OF HOPE OPIOID TREATMENT PROGRAM INC NPI is 1003511213. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Anchor Of Hope Otp.

The provider's business location address is:

2307 SPRINGLAKE RD STE 500
FARMERS BRANCH, TX
ZIP 75234-876
Phone: (469) 291-5288
Fax: (469) 291-5443

The provider's authorized official is Sonya Modkins .
The authorized official title is Program Director and has the following contact phone number (469) 291-5288.

The CLIA number assigned to this NPI record is 45D2168069 - other - methadone clinic with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/5/2023 and was last updated on 10/26/2023.


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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12083A0300XPreventive MedicineAddiction MedicineYes

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: 5/5/2024

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