RALEIGH METHADONE TREATMENT CENTER NPI 1528202926

NPI Information

NPI: 1528202926
Provider Name: RALEIGH METHADONE TREATMENT CENTER

Other Name: SELLATI & CO., INC.

Classification: Clinic/Center - 261QM2800X
Entity Type: Organization

Specialization: Methadone

Address:
5109 OAK PARK RD
RALEIGH, NC
ZIP 27612
Phone: (919) 781-5507
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RALEIGH METHADONE TREATMENT CENTER is a methadone clinic center in Raleigh, NC. 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. RALEIGH METHADONE TREATMENT CENTER NPI is 1528202926. The provider is registered as an organization entity type.
The provider Other Name Is Sellati & Co., Inc..

The provider's business location address is:

5109 OAK PARK RD
RALEIGH, NC
ZIP 27612-063
Phone: (919) 781-5507
Fax: (919) 781-2949

The provider's authorized official is Lourdes M Hawkins .
The authorized official title is President and has the following contact phone number (407) 677-1757.

The CLIA number assigned to this NPI record is 34D2133972 - other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/29/2009 and was last updated on 4/29/2009.

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	261QM2800X	Clinic/Center	Methadone	MHL-092-523	NORTH CAROLINA	Yes

What is NPI?

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This page was last updated on: 11/14/2023

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