Healthcare Provider Details
I. General information
NPI: 1972601193
Provider Name (Legal Business Name): GALAX TREATMENT CENTER, LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 09/20/2006
Last Update Date: 05/21/2026
Certification Date: 05/21/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
112 PAINTER ST
GALAX VA
24333-3828
US
IV. Provider business mailing address
4020 ASPEN GROVE DR STE 900
FRANKLIN TN
37067-3134
US
V. Phone/Fax
- Phone: 276-236-2994
- Fax: 276-236-4802
- Phone: 615-861-6000
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 251S00000X |
| Taxonomy | Community/Behavioral Health Agency |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 261QR0405X |
| Taxonomy | Substance Use Disorder Rehabilitation Clinic/Center |
| License Number | |
| License Number State | |
| # 3 | |
| Primary Taxonomy | N |
| Taxonomy Code | 261QM2800X |
| Taxonomy | Methadone Clinic |
| License Number | 617-06-001 |
| License Number State | VA |
| # 4 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 324500000X |
| Taxonomy | Substance Abuse Rehabilitation Facility |
| License Number | 617-01-025 |
| License Number State | VA |
VIII. Authorized Official
Name:
BRIAN
P
FARLEY
Title or Position: VP & SECRETARY
Credential:
Phone: 615-861-6000