MEDICARE: WESTERN CAROLINA TREATMENT CENTER, 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
1	1835P1200X	Pharmacotherapy Pharmacist	NC-AW00001420	NC
2	251S00000X	Community/Behavioral Health Agency	MHL-011-246	NC
3	261QR0405X	Substance Use Disorder Rehabilitation Clinic/Center
4	261QM2800X	Methadone Clinic

General Provider Information

NPI Number	:	1962726380
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	WESTERN CAROLINA TREATMENT CENTER, INC

Provider Business Mailing Address
First Line	:	3523 PELHAM RD STE C
Second Line	:
City	:	GREENVILLE
State	:	SC
Zip	:	29615-4191
Country	:	US
Telephone Number	:	864-527-1250
Fax Number	:	864-203-2066

Provider Business Practice Location Address
First Line	:	3 DOCTORS PARK STE G
Second Line	:
City	:	ASHEVILLE
State	:	NC
Zip	:	28801-4521
Country	:	US
Telephone Number	:	828-251-1478
Fax Number	:	828-251-5227

Authorized Official
Title or Position	:	CHIEF OPERATING OFFICER
Name	:	MRS. JOY BAILLEY
Credential	:
Telephone Number	:	864-527-1250

Provider Enumeration Date	:	03/15/2010
Last Update Date	:	02/27/2024

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