ON CALL TREATMENT LLC NPI 1073123303

NPI Information

NPI: 1073123303
Provider Name: ON CALL TREATMENT, LLC
Classification: Clinic/Center - 261QR0405X
Entity Type: Organization

Specialization: Rehabilitation, Substance Use Disorder

CLIA Number: 22D2257568

Address:
564 MAIN ST STE 100
WALTHAM, MA
ZIP 02452
Phone: (617) 909-5283
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ON CALL TREATMENT, LLC is a rehabilitation and substance use disorder clinic center in Waltham, MA. ON CALL TREATMENT, LLC NPI is 1073123303. The provider is registered as an organization entity type.

The provider's business location address is:

564 MAIN ST STE 100
WALTHAM, MA
ZIP 02452-516
Phone: (617) 909-5283
Fax: (954) 990-6305

The provider's authorized official is Sherita Sherita .
The authorized official title is Manager and has the following contact phone number (954) 993-2040.

The CLIA number assigned to this NPI record is 22D2257568 - ancillary testing site in health care center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/2/2020 and was last updated on 5/15/2021.

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
1	261QR0405X	Clinic/Center	Rehabilitation, Substance Use Disorder			Yes
2	324500000X	Substance Abuse Rehabilitation Facility				No

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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