MEDICARE: TOWNSEND TREATMENT CENTER, 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	324500000X	Substance Abuse Rehabilitation Facility
2	261QR0405X	Substance Use Disorder Rehabilitation Clinic/Center	2203782692-A	LA

General Provider Information

NPI Number	:	1801256938
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TOWNSEND TREATMENT CENTER, LLC

Provider Business Mailing Address
First Line	:	200 POWELL PL
Second Line	:
City	:	BRENTWOOD
State	:	TN
Zip	:	37027-7514
Country	:	US
Telephone Number	:	615-727-8387
Fax Number	:	615-457-8094

Provider Business Practice Location Address
First Line	:	4330 LOVELAND ST
Second Line	:	STE. A
City	:	METAIRIE
State	:	LA
Zip	:	70006
Country	:	US
Telephone Number	:	504-454-5172
Fax Number	:	615-457-8094

Authorized Official
Title or Position	:	CHAIRMAN
Name	:	MICHAEL CARTWRIGHT
Credential	:
Telephone Number	:	615-727-8387

Provider Enumeration Date	:	03/02/2016
Last Update Date	:	07/20/2018

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