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ALTERNATIVE OPIATE TREATMENT PROGRAM LLC NPI 1730562026


NPI Information

NPI: 1730562026
Provider Name: ALTERNATIVE OPIATE TREATMENT PROGRAM, LLC
Classification: Clinic/Center - 261QM2800X
Entity Type: Organization

Specialization: Methadone

CLIA Number: 45D2100366

Address:
1401 E RUSK ST
JACKSONVILLE, TX
ZIP 75766
Phone: (903) 284-6802
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ALTERNATIVE OPIATE TREATMENT PROGRAM, LLC is a methadone clinic center in Jacksonville, TX. 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. ALTERNATIVE OPIATE TREATMENT PROGRAM, LLC NPI is 1730562026. The provider is registered as an organization entity type.

The provider's business location address is:

1401 E RUSK ST
JACKSONVILLE, TX
ZIP 75766-400
Phone: (903) 284-6802
Fax: (903) 284-6803

The provider's authorized official is Catherine Jean Wallum .
The authorized official title is Program Sponsor and has the following contact phone number (903) 571-2731.

The CLIA number assigned to this NPI record is 45D2100366 - other - outpatient drug rehab with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/3/2015 and was last updated on 8/22/2023.


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/CenterMethadoneNo
2261QM2800XClinic/CenterMethadoneTEXASYes

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.