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CHARLESTON TREATMENT CENTER LLC. NPI 1255349726


NPI Information

NPI: 1255349726
Provider Name: CHARLESTON TREATMENT CENTER, LLC.
Classification: Clinic/Center - 261QM0801X
Entity Type: Organization

Specialization: Mental Health (Including Community Mental Health Center)

CLIA Number: 51D2085861

Address:
2157 GREENBRIER ST
CHARLESTON, WV
ZIP 25311
Phone: (304) 344-5924
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CHARLESTON TREATMENT CENTER, LLC. is a mental health (including community mental health center) clinic center in Charleston, WV. CHARLESTON TREATMENT CENTER, LLC. NPI is 1255349726. The provider is registered as an organization entity type.

The provider's business location address is:

2157 GREENBRIER ST
CHARLESTON, WV
ZIP 25311-623
Phone: (304) 344-5924
Fax: (304) 344-3503

The provider's authorized official is Kim Sanderson .
The authorized official title is President, Ctc Division and has the following contact phone number (855) 259-2288.

The CLIA number assigned to this NPI record is 51D2085861 - other with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 8/3/2006 and was last updated on 7/28/2021.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QM0801XClinic/CenterMental Health (Including Community Mental Health Center)Yes
2261QM2800XClinic/CenterMethadone02WEST VIRGINIANo

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: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.