QUALITY ADDICTION MANAGEMENT INC. NPI 1629282470

NPI Information

NPI: 1629282470
Provider Name: QUALITY ADDICTION MANAGEMENT, INC.
Classification: Clinic/Center - 261QM2800X
Entity Type: Organization

Specialization: Methadone

CLIA Number: 52D2019014

Address:
2357 W MASON ST
GREEN BAY, WI
ZIP 54303
Phone: (920) 337-6740
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QUALITY ADDICTION MANAGEMENT, INC. is a methadone clinic center in Green Bay, WI. 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. QUALITY ADDICTION MANAGEMENT, INC. NPI is 1629282470. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2357 W MASON ST
GREEN BAY, WI
ZIP 54303-708
Phone: (920) 337-6740
Fax: (920) 337-6741

The provider's authorized official is Brian Phillip Farley .
The authorized official title is Vp & Secretary and has the following contact phone number (615) 716-9335.

The CLIA number assigned to this NPI record is 52D2019014 - mobile laboratory with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/10/2007 and was last updated on 4/12/2024.

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	101YA0400X	Counselor	Addiction (Substance Use Disorder)	1748	WISCONSIN	No
2	261QM0801X	Clinic/Center	Mental Health (Including Community Mental Health Center)			No
3	261QM2800X	Clinic/Center	Methadone	1748	WISCONSIN	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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