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General NPI Number Information
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NPI Number | 1568522928
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Entity Type | Organization
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Legal Business Name | WCHS, INC.
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Dates
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Enumeration Date | 12/08/2006
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Last Update Date | 10/24/2024
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Provider Practice Location Address
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Address Line | 2275 E COOLEY DR
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City | COLTON
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State | CA
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Zip | 92324-6324
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Country | US
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Telephone | 909-370-1777
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Fax | 909-370-1776
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Provider Business Mailing Address
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Address Line | 6183 PASCO DEL NORTE SUITE 200
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City | CARLSBAD
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State | CA
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Zip | 92011-1151
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Country | US
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Telephone | 855-259-2288
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Fax | 909-370-1776
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Authorized Official
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Title or Position | VP & SECRETARY
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Name | BRIAN PHILLIP FARLEY
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Credential |
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Telephone | 615-861-6000
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | 360066AP
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 261QM2800X
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Taxonomy Name | Methadone Clinic
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License Number | 36-05
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License Number State | CA
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