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NPI Code Detail

MEDICARE: METRO TREATMENT OF NORTH CAROLINA L P

MEDICARE: METRO TREATMENT OF NORTH CAROLINA L P
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
13336C0002XClinic PharmacyNC-AM 0000 2055NC
2251S00000XCommunity/Behavioral Health AgencyMHL-026-760NC
3261QM2800XMethadone Clinic

General Provider Information

NPI Number : 1588870877
Entity Type Code : Organization
Provider Name (Legal Business Name) : METRO TREATMENT OF NORTH CAROLINA L P
Provider Business Mailing Address
First Line : 2500 MAITLAND CENTER PKWY STE 250
Second Line :
City : MAITLAND
State : FL
Zip : 32751-4174
Country : US
Telephone Number : 407-351-7080
Fax Number : 407-351-6930
Provider Business Practice Location Address
First Line : 418 PERSON ST STE 103
Second Line :
City : FAYETTEVILLE
State : NC
Zip : 28301-5886
Country : US
Telephone Number : 910-483-0958
Fax Number : 407-351-6930
Authorized Official
Title or Position : VP, MANAGED CARE
Name : SCOTT CALL
Credential :
Telephone Number : 480-826-3929
Provider Enumeration Date : 05/15/2007
Last Update Date : 10/30/2025

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