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SYLVANUS MEMORIAL TREATMENT CENTERS INC. NPI 1093041121


NPI Information

NPI: 1093041121
Provider Name: SYLVANUS MEMORIAL TREATMENT CENTERS, INC.

Doing Business As: ROBERT W DAIL MEMORIAL TREATMENT CENTER

Classification: Clinic/Center - 261QM2800X
Entity Type: Organization

Specialization: Methadone

CLIA Number: 11D2026305

Address:
734 HOSPITAL RD
COMMERCE, GA
ZIP 30529
Phone: (706) 335-5180
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SYLVANUS MEMORIAL TREATMENT CENTERS, INC. is a methadone clinic center in Commerce, 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. SYLVANUS MEMORIAL TREATMENT CENTERS, INC. NPI is 1093041121. The provider is registered as an organization entity type.
The provider Is Doing Business As Robert W Dail Memorial Treatment Center.

The provider's business location address is:

734 HOSPITAL RD
COMMERCE, GA
ZIP 30529-142
Phone: (706) 335-5180
Fax: (706) 335-5217

The provider's authorized official is Robin Robinette Rathbun .
The authorized official title is Administrator/sponsor and has the following contact phone number (706) 335-5180.

The CLIA number assigned to this NPI record is 11D2026305 - other - opioid treatment program with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/24/2009 and was last updated on 10/24/2009.


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/CenterMethadoneNTP001028GEORGIAYes

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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