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NPI Code Detail

MEDICARE: ADDICTION & MENTAL HEALTH SERVICES INC

MEDICARE: ADDICTION & MENTAL HEALTH SERVICES INC
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/Center
2324500000XSubstance Abuse Rehabilitation Facility

General Provider Information

NPI Number : 1134277502
Entity Type Code : Organization
Provider Name (Legal Business Name) : ADDICTION & MENTAL HEALTH SERVICES INC
Provider Business Mailing Address
First Line : PO BOX 502861
Second Line :
City : SAINT LOUIS
State : MO
Zip : 63150-0001
Country : US
Telephone Number : 205-251-7753
Fax Number : 205-251-7760
Provider Business Practice Location Address
First Line : 161 ROBERTSVILLE RD STE A
Second Line :
City : OAK RIDGE
State : TN
Zip : 37830-5057
Country : US
Telephone Number : 865-481-8067
Fax Number : 865-483-5478
Authorized Official
Title or Position : CHIEF FINANCIAL OFFICER
Name : MR. BERNARD B STEPHENS
Credential :
Telephone Number : 205-251-7753
Provider Enumeration Date : 01/08/2007
Last Update Date : 09/11/2025

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Directions to “ADDICTION & MENTAL HEALTH SERVICES INC ” Practice Location

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