South Carolina CTC, LLC

Primary specialty

Methadone ClinicTaxonomy code 261QM2800X

Legal business name

SOUTH CAROLINA CTC, LLC

Practice address

1651 And 1653 E Main St.
Easley, SC 29640

Phone

(760) 710-0968

NPI assigned

Jul 18, 2024

Organization subpart

Yes

Parent organization

ACADIA HEALTHCAREAs reported in NPPES

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Brian Farley

Title

VP & Secretary

Phone

(615) 716-9335

Specialties & licenses 3

Addresses

Other names 1

• Easley Comprehensive Treatment Center Doing business as

Medicare fee-for-service enrollment

Enrolled in SC

Opioid treatment program

Medicare-enrolled since Dec 18, 2024

Enrollment records 1

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• South Carolina CTC, LLC

  • Methadone Clinic
  • Clinton, SC
  • NPI 1073350500

  O20250228002604

  Same enrollment
• South Carolina CTC, LLC

  • Methadone Clinic
  • Ridgeland, SC
  • NPI 1497592927

  O20250228002604

  Same enrollment

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Tax ID family

Clinton Comprehensive Treatment Center3 organizations share this tax ID, including this one

Part of

Haven Behavioral Healthcare

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• South Carolina CTC, LLC

  • Methadone Clinic
  • Clinton, SC
  • NPI 1073350500
  NPD tax ID
• South Carolina CTC, LLC

  • Methadone Clinic
  • Ridgeland, SC
  • NPI 1497592927
  NPD tax ID

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1721260800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724198400000",
    "number": "1043058571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6183 PASEO DEL NORTE STE 200",
            "city": "CARLSBAD",
            "state": "CA",
            "postal_code": "920111151",
            "telephone_number": "760-710-0968"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1651 AND 1653 E MAIN ST.",
            "city": "EASLEY",
            "state": "SC",
            "postal_code": "29640",
            "telephone_number": "760-710-0968"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH CAROLINA CTC, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ACADIA HEALTHCARE",
        "enumeration_date": "2024-07-18",
        "last_updated": "2024-08-21",
        "certification_date": "2024-08-16",
        "status": "A",
        "authorized_official_last_name": "FARLEY",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_title_or_position": "VP & SECRETARY",
        "authorized_official_telephone_number": "615-716-9335"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM2800X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Methadone",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Easley Comprehensive Treatment Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Easley Comprehensive Treatment Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Methadone Clinic in Easley, SC
• Providers in Easley, SC by specialty
• Methadone Clinic in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.