Parkersburg Treatment Center, LLC
Organization Active NPI Methadone Clinic · Parkersburg, WV
NPI 1669987475 · NPPES record last updated Aug 23, 2023
Key facts
- NPI
- 1669987475
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Methadone Clinic 261QM2800X
- Legal business name
- PARKERSBURG TREATMENT CENTER, LLC
- Practice address
- 184 Holiday Hills Dr
Parkersburg, WV 26104-8006 - Phone
- (304) 420-2400
- Fax
- (304) 420-9014
- NPI assigned
- Dec 4, 2017
- Organization subpart
- Yes
- Parent organization (as reported)
- ACADIA HEALTHCARE COMPANY, INC.
Authorized official
- Name
- Brian Phillip Farley
- Title
- VP & Secretary
- Phone
- (615) 861-6000
Other NPIs with the same Medicare PAC ID 1
Corporate family (same tax ID) 2
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in WV
- Opioid treatment program
- Medicare-enrolled since Jan 1, 2020
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20200107002536 | WV | Part B Supplier - Opioid Treatment Program (Otp) | 3678907235 | Practice locations: Parkersburg, WV |
National Provider Directory
- Tax ID family
- Parkersburg Treatment Center LLC
- Part of
- Haven Behavioral Healthcare
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Methadone Clinic | 261QM2800X | Yes |
Addresses
Primary practice location
184 Holiday Hills Dr
Parkersburg, WV 26104-8006
Mailing address
6183 Paseo del Norte Ste 200
Carlsbad, CA 92011-1155
Phone (855) 259-2288
Other providers in Parkersburg, WV
- Parkersburg Primary Care PLLC
- Parkersburg Psychological Services, PLLC
- Parkersburg Radiology Services, Inc.
- Parkersburg Treatment Center, LLC
- Parkersburg Treatment Center, LLC
- Maria Parks
- Parrish Hearing Aid Center, Inc.
- Cynthia Rae Parrish
- William C Parrish Jr.
- Pars Neurosurgical Associates
All providers in Parkersburg, WV · Methadone Clinic in West Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 23, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.