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General NPI Number Information
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NPI Number | 1578438875
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Entity Type | Organization
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Legal Business Name | BERKELEY TREATMENT CENTER LLC
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Dates
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Enumeration Date | 10/07/2025
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Last Update Date | 10/07/2025
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Provider Practice Location Address
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Address Line | 414 DRIVE IN LN UNIT A
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City | MONCKS CORNER
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State | SC
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Zip | 29461-3981
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Country | US
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Telephone | 843-482-0352
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Fax | 843-482-0354
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Provider Business Mailing Address
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Address Line | 3523 PELHAM RD STE C
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City | GREENVILLE
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State | SC
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Zip | 29615-4191
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Country | US
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Telephone | 864-527-1250
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Fax | 864-203-2066
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Authorized Official
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Title or Position | CHIEF OPERATING OFFICER
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Name | JOY BAILLEY
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Credential |
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Telephone | 864-527-1250
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM2800X
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Taxonomy Name | Methadone Clinic
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License Number |
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License Number State |
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