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NPI Code Detail

MEDICARE: ATS OF NORTH CAROLINA, LLC

MEDICARE: ATS OF NORTH CAROLINA, LLC
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
1101YA0400XAddiction (Substance Use Disorder) CounselorMHL097065NC
2251S00000XCommunity/Behavioral Health Agency
3261QM2800XMethadone ClinicMHL097065NC

General Provider Information

NPI Number : 1518243872
Entity Type Code : Organization
Provider Name (Legal Business Name) : ATS OF NORTH CAROLINA, LLC
Provider Business Mailing Address
First Line : 6183 PASEO DEL NORTE STE 200
Second Line :
City : CARLSBAD
State : CA
Zip : 92011-1155
Country : US
Telephone Number : 855-259-2288
Fax Number : 877-552-0439
Provider Business Practice Location Address
First Line : 200 NORTHVIEW PLZ
Second Line :
City : NORTH WILKESBORO
State : NC
Zip : 28659-3173
Country : US
Telephone Number : 336-818-0607
Fax Number : 336-838-0156
Authorized Official
Title or Position : VP & SECRETARY
Name : BRIAN PHILLIP FARLEY
Credential :
Telephone Number : 615-716-9335
Provider Enumeration Date : 10/31/2011
Last Update Date : 10/03/2024

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Directions to “ATS OF NORTH CAROLINA, LLC ” Practice Location

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