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NPI Code Detail

MEDICARE: RICHMOND TREATMENT CENTER, LLC

MEDICARE: RICHMOND TREATMENT CENTER, LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261QR0405XSubstance Use Disorder Rehabilitation Clinic/Center1382-0-ASRIN
2261QM2800XMethadone Clinic1382-0-ASRIN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1003969767
Entity Type Code : Organization
Provider Name (Legal Business Name) : RICHMOND TREATMENT CENTER, LLC
Provider Business Mailing Address
First Line : 6183 PASEO DEL NORTE STE 200
Second Line :
City : CARLSBAD
State : CA
Zip : 92011-1151
Country : US
Telephone Number : 615-861-6000
Fax Number :
Provider Business Practice Location Address
First Line : 4265 S A ST
Second Line :
City : RICHMOND
State : IN
Zip : 47374-6049
Country : US
Telephone Number : 765-962-8843
Fax Number : 765-965-4564
Authorized Official
Title or Position : VP & SECRETARY
Name : BRIAN PHILLIP FARLEY
Credential :
Telephone Number : 615-861-6000
Provider Enumeration Date : 01/18/2007
Last Update Date : 09/28/2023

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Directions to “RICHMOND TREATMENT CENTER, LLC ” Practice Location

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