GIFFORD STREET WELLNESS CENTER LLC NPI 1891142154

NPI Information

GIFFORD STREET WELLNESS CENTER, LLC is a methadone clinic center in New Bedford, MA. 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. GIFFORD STREET WELLNESS CENTER, LLC NPI is 1891142154. The provider is registered as an organization entity type.
The provider Is Doing Business As Gifford Street Wellness Center.

The provider's business location address is:

34 GIFFORD ST
NEW BEDFORD, MA
ZIP 02744-610
Phone: (508) 999-3126

The provider's authorized official is Brian Phillip Farley .
The authorized official title is Vp & Secretary and has the following contact phone number (615) 861-6000.

The CLIA number assigned to this NPI record is 22D0926727 - comp. outpatient rehab facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/17/2016 and was last updated on 8/11/2023.

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:

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