CITY WIDE TREATMENT CENTER NPI 1063766558

NPI Information

NPI: 1063766558
Provider Name: CITY WIDE TREATMENT CENTER
Classification: Clinic/Center - 261QM2800X
Entity Type: Organization

Specialization: Methadone

Address:
9104 WIPKEY CT
BOWIE, MD
ZIP 20720
Phone: (301) 464-9617
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CITY WIDE TREATMENT CENTER is a methadone clinic center in Bowie, MD. 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. CITY WIDE TREATMENT CENTER NPI is 1063766558. The provider is registered as an organization entity type.

The provider's business location address is:

9104 WIPKEY CT
BOWIE, MD
ZIP 20720-233
Phone: (301) 464-9617

The provider's authorized official is Damon Eugene Hall .
The authorized official title is Ceo and has the following contact phone number (202) 409-7467.

The enumeration date for this NPI number is 11/5/2012 and was last updated on 11/5/2012.

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	Primary
1	261QM0801X	Clinic/Center	Mental Health (Including Community Mental Health Center)	No
2	261QM0855X	Clinic/Center	Adolescent and Children Mental Health	No
3	261QR0405X	Clinic/Center	Rehabilitation, Substance Use Disorder	No
4	261QM2800X	Clinic/Center	Methadone	Yes

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

NPI Synchronization or Removal

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