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NPI Code Detail

MEDICARE: ADDICTION RESEARCH AND TREATMENT, INC

MEDICARE: ADDICTION RESEARCH AND TREATMENT, 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
1261QM2800XMethadone Clinic
2261QR0405XSubstance Use Disorder Rehabilitation Clinic/Center

General Provider Information

NPI Number : 1205035425
Entity Type Code : Organization
Provider Name (Legal Business Name) : ADDICTION RESEARCH AND TREATMENT, INC
Provider Business Mailing Address
First Line : 1720 LAKEPOINTE DR STE 117
Second Line :
City : LEWISVILLE
State : TX
Zip : 75057-6425
Country : US
Telephone Number : 214-379-3300
Fax Number : 214-853-9018
Provider Business Practice Location Address
First Line : 1124 INTERNATIONAL BLVD
Second Line :
City : OAKLAND
State : CA
Zip : 94606-4331
Country : US
Telephone Number : 510-533-0800
Fax Number : 510-532-5861
Authorized Official
Title or Position : VP, TREASURER
Name : BRUCE JARVIE
Credential :
Telephone Number : 214-379-3300
Provider Enumeration Date : 07/17/2007
Last Update Date : 07/29/2024

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