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NPI Code Detail

MEDICARE: QUALITY ADDICTION MANAGEMENT INC

MEDICARE: QUALITY ADDICTION MANAGEMENT INC
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) Counselor1748WI
2261QM0801XMental Health Clinic/Center (Including Community Mental Health Center)
3261QM2800XMethadone Clinic1748WI

General Provider Information

NPI Number : 1629282470
Entity Type Code : Organization
Provider Name (Legal Business Name) : QUALITY ADDICTION MANAGEMENT INC
Provider Business Mailing Address
First Line : PO BOX 682669
Second Line :
City : FRANKLIN
State : TN
Zip : 37068-2669
Country : US
Telephone Number : 760-710-0819
Fax Number :
Provider Business Practice Location Address
First Line : 2357 W MASON ST
Second Line :
City : GREEN BAY
State : WI
Zip : 54303-4708
Country : US
Telephone Number : 920-337-6740
Fax Number : 920-337-6741
Authorized Official
Title or Position : VP & SECRETARY
Name : BRIAN PHILLIP FARLEY
Credential :
Telephone Number : 615-716-9335
Provider Enumeration Date : 05/10/2007
Last Update Date : 04/07/2026

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Directions to “QUALITY ADDICTION MANAGEMENT INC ” Practice Location

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