Virginia Treatment Center, LLC
Organization Active NPI Methadone Clinic · Roanoke, VA
NPI 1780435586 · NPPES record last updated Oct 3, 2024
Key facts
- NPI
- 1780435586
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Methadone Clinic 261QM2800X
- Legal business name
- VIRGINIA TREATMENT CENTER, LLC
- Practice address
- 1529 Williamson Rd NE
Roanoke, VA 24012-5124 - Phone
- (760) 710-0968
- NPI assigned
- Mar 29, 2024
- Organization subpart
- Yes
- Parent organization (as reported)
- ACADIA HEALTHCARE
Authorized official
- Name
- Brian Phillip Farley
- Title
- VP & Secretary
- Phone
- (615) 716-9335
Corporate family (same tax ID) 2
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 49D2306956 | Virginia Treatment Center, LLC | Certificate of waiver | Jun 26, 2028 |
National Provider Directory
- Tax ID family
- Virginia Treatment Center
- Part of
- Haven Behavioral Healthcare
Locations
1529 Williamson Rd NE
Roanoke, VA 24012
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | |||
| Methadone Clinic | 261QM2800X | Yes | ||
| Substance Use Disorder Rehabilitation Clinic/Center | 261QR0405X |
Addresses
Primary practice location
1529 Williamson Rd NE
Roanoke, VA 24012-5124
Mailing address
6183 Paseo del Norte Ste 200
Carlsbad, CA 92011-1151
Phone (760) 710-0968
Other names
- Downtown Roanoke Comprehensive Treatment Center
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | https://199.119.81.30:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRResponse_Service | Other | eSolutions Inc. |
Other providers in Roanoke, VA
- Virginia Pain Center Inc.
- Virginia Polytechnic Institute and State University
- Virginia Prosthetics Inc
- Virginia Skin & Vein, LLC
- Virginia Treatment Center
- Virginia United Methodist Homes, Inc.
- Virginia Veterans Care Center Pharmacy
- Sonia Vishneski
- Vision Behavioral Health Services of VA.
- Timothy Gayle Visser
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 3, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.