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General NPI Number Information
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NPI Number | 1902825169
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Entity Type | Organization
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Legal Business Name | WILMINGTON TREATMENT CENTER, LLC
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Dates
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Enumeration Date | 07/19/2006
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Last Update Date | 03/20/2024
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Provider Practice Location Address
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Address Line | 2520 TROY DR
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City | WILMINGTON
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State | NC
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Zip | 28401-7643
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Country | US
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Telephone | 910-762-2727
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Fax | 910-762-7923
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Provider Business Mailing Address
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Address Line | 6100 TOWER CIR STE 1000
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City | FRANKLIN
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State | TN
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Zip | 37067-1509
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Country | US
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Telephone | 615-861-6000
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Fax |
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Authorized Official
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Title or Position | VICE PRESIDENT & SECRETARY
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Name | BRIAN 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 | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261QR0405X
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Taxonomy Name | Substance Use Disorder Rehabilitation Clinic/Center
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 282N00000X
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Taxonomy Name | General Acute Care Hospital
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License Number | MHH0961
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License Number State | NC
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