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NPI Code Detail

MEDICARE: OPTIONS TREATMENT ACQUISITION CORPORATION

MEDICARE: OPTIONS TREATMENT ACQUISITION CORPORATION
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1283Q00000XPsychiatric Hospital
2323P00000XPsychiatric Residential Treatment Facility39493629873788IN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1124153911
Entity Type Code : Organization
Provider Name (Legal Business Name) : OPTIONS TREATMENT ACQUISITION CORPORATION
Provider Business Mailing Address
First Line : 6100 TOWER CIR STE 1000
Second Line :
City : FRANKLIN
State : TN
Zip : 37067-1509
Country : US
Telephone Number : 615-861-6000
Fax Number :
Provider Business Practice Location Address
First Line : 5602 CAITO DR
Second Line :
City : INDIANAPOLIS
State : IN
Zip : 46226-1346
Country : US
Telephone Number : 317-544-4340
Fax Number : 317-544-4350
Authorized Official
Title or Position : VP & SECRETARY
Name : BRIAN P FARLEY
Credential :
Telephone Number : 615-861-6000
Provider Enumeration Date : 02/22/2007
Last Update Date : 08/22/2023

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Directions to “OPTIONS TREATMENT ACQUISITION CORPORATION ” Practice Location

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