Healthcare Provider Details

I. General information

NPI: 1962726380
Provider Name (Legal Business Name): WESTERN CAROLINA TREATMENT CENTER, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/15/2010
Last Update Date: 02/27/2024
Certification Date: 02/27/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3 DOCTORS PARK STE G
ASHEVILLE NC
28801-4521
US

IV. Provider business mailing address

3523 PELHAM RD STE C
GREENVILLE SC
29615-4191
US

V. Phone/Fax

Practice location:
  • Phone: 828-251-1478
  • Fax: 828-251-5227
Mailing address:
  • Phone: 864-527-1250
  • Fax: 864-203-2066

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code1835P1200X
TaxonomyPharmacotherapy Pharmacist
License NumberNC-AW00001420
License Number StateNC
# 2
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License NumberMHL-011-246
License Number StateNC
# 3
Primary TaxonomyN
Taxonomy Code261QR0405X
TaxonomySubstance Use Disorder Rehabilitation Clinic/Center
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code261QM2800X
TaxonomyMethadone Clinic
License Number
License Number State

VIII. Authorized Official

Name: MRS. JOY BAILLEY
Title or Position: CHIEF OPERATING OFFICER
Credential:
Phone: 864-527-1250