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NPI Code Detail

MEDICARE: WHEELING TREATMENT CENTER, LLC

MEDICARE: WHEELING 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
1261QM2800XMethadone Clinic07WV

General Provider Information

NPI Number : 1891201703
Entity Type Code : Organization
Provider Name (Legal Business Name) : WHEELING TREATMENT CENTER, 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 : 40 ORRS LN
Second Line :
City : TRIADELPHIA
State : WV
Zip : 26059-1455
Country : US
Telephone Number : 304-547-9197
Fax Number : 304-547-9198
Authorized Official
Title or Position : VP & SECRETARY
Name : BRIAN PHILLIP FARLEY
Credential :
Telephone Number : 615-861-6000
Provider Enumeration Date : 12/15/2017
Last Update Date : 10/24/2024

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Directions to “WHEELING TREATMENT CENTER, LLC ” Practice Location

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