NPI | 1376680199 |
---|---|
Doing Business As | CAROLINA TREATMENT CENTER OF FAYETTEVILLE |
Entity Type | Organization |
Authorized Contact | BRIAN PHILLIP FARLEY VP & Secretary 615-861-6000 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QM2800X Clinic/Center, Methadone Clinic |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NC MHL-026-617) |
251S00000X | |
261QM2800X Clinic/Center, Methadone Clinic (Licence: NC MHL-026-617) | |
Enumeration Date | 2007-01-31 |
Last Update Date | 2024-10-03 |