MEDICARE: ADVANCED TREATMENT SYSTEMS, 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
1	251B00000X	Case Management Agency
2	261QM2800X	Methadone Clinic

Other Identifiers

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

General Provider Information

NPI Number	:	1700996790
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ADVANCED TREATMENT SYSTEMS, LLC

Provider Business Mailing Address
First Line	:	6183 PASEO DEL NORTE STE 200
Second Line	:
City	:	CARLSBAD
State	:	CA
Zip	:	92011-1151
Country	:	US
Telephone Number	:	615-861-6000
Fax Number	:

Provider Business Practice Location Address
First Line	:	243 SCHNEIDER DR
Second Line	:
City	:	LEBANON
State	:	PA
Zip	:	17046-4875
Country	:	US
Telephone Number	:	717-273-8000
Fax Number	:

Authorized Official
Title or Position	:	VP & SECRETARY
Name	:	BRIAN PHILLIP FARLEY
Credential	:
Telephone Number	:	615-716-9335

Provider Enumeration Date	:	08/30/2006
Last Update Date	:	10/03/2024

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