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WALTON COUNTY TREATMENT CENTER LLC NPI 1275165755


NPI Information

NPI: 1275165755
Provider Name: WALTON COUNTY TREATMENT CENTER LLC
Classification: Clinic/Center - 261QM2800X
Entity Type: Organization

Specialization: Methadone

CLIA Number: 11D2113827

Address:
3543 HIGHWAY 81 STE 201
LOGANVILLE, GA
ZIP 30052
Phone: (404) 545-7279
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WALTON COUNTY TREATMENT CENTER LLC is a methadone clinic center in Loganville, GA. The provider is an entity, facility, or distinct part of a facility providing diagnostic, and replacement maintenance treatment services related to individuals with drug addiction. WALTON COUNTY TREATMENT CENTER LLC NPI is 1275165755. The provider is registered as an organization entity type.

The provider's business location address is:

3543 HIGHWAY 81 STE 201
LOGANVILLE, GA
ZIP 30052-336
Phone: (404) 545-7279

The provider's authorized official is Nalini Singh .
The authorized official title is Medical Director and has the following contact phone number (404) 545-7279.

The CLIA number assigned to this NPI record is 11D2113827 - comp. outpatient rehab facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/12/2020 and was last updated on 2/12/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QM2800XClinic/CenterMethadoneYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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