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AMERICAN ADDICTION TREATMENT CENTER INC NPI 1710540919


NPI Information

NPI: 1710540919
Provider Name: AMERICAN ADDICTION TREATMENT CENTER, INC

Doing Business As: AMERICAN ADDICTION TREATMENT CENTER-GLOUCESTER

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

Specialization: Methadone

CLIA Number: 49D2163554

Address:
6983C MID COUNTY LN
HAYES, VA
ZIP 23072
Phone: (804) 824-2814
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AMERICAN ADDICTION TREATMENT CENTER, INC is a methadone clinic center in Hayes, VA. 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. AMERICAN ADDICTION TREATMENT CENTER, INC NPI is 1710540919. The provider is registered as an organization entity type.
The provider Is Doing Business As American Addiction Treatment Center-gloucester.

The provider's business location address is:

6983C MID COUNTY LN
HAYES, VA
ZIP 23072-833
Phone: (804) 824-2814
Fax: (804) 824-2817

The provider's authorized official is Robyn Tanis .
The authorized official title is Executive Director Of Contract Mgmt and has the following contact phone number (856) 533-8762.

The CLIA number assigned to this NPI record is 49D2163554 - other - opioid treatment program with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/15/2019 and was last updated on 1/12/2024.


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
1251S00000XCommunity/Behavioral HealthNo
2261QR0800XClinic/CenterRecovery CareNo
3261QM2800XClinic/CenterMethadoneYes

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: 5/5/2024

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