| NPI | 1174521488 |
|---|---|
| Doing Business As | PROVIDENCE COMPREHENSIVE TREATMENT CENTER |
| Entity Type | Organization |
| Authorized Contact | BRIAN PHILLIP FARLEY VP & Secretary 615-716-9335 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM2800X Clinic/Center, Methadone Clinic |
| Additional Taxonomies | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: RI 608) |
| 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder (Licence: RI 608) | |
| Enumeration Date | 2005-07-11 |
| Last Update Date | 2025-04-14 |