Manitowoc Comprehensive Treatment Center | |
1100 S 30th St Manitowoc WI 54220-5594 | |
(615) 861-6000 | |
Not Available |
Full Name | Manitowoc Comprehensive Treatment Center |
---|---|
Speciality | Clinic/center - Methadone |
Location | 1100 S 30th St, Manitowoc, Wisconsin |
Authorized Official Name and Position | Brian Phillip Farley (VP & SECRETARY) |
Authorized Official Contact | 6157169335 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Manitowoc Comprehensive Treatment Center 6183 Paseo Del Norte Ste 200 Carlsbad CA 92011-1151 Ph: (615) 861-6000 | Manitowoc Comprehensive Treatment Center 1100 S 30th St Manitowoc WI 54220-5594 Ph: (615) 861-6000 |
NPI Number | 1518727809 |
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Provider Enumeration Date | 03/21/2024 |
Last Update Date | 03/28/2024 |
Certification Date | 03/28/2024 |
Identifier | Type | State | Issuer |
---|---|---|---|
1518727809 | NPI | - | NPPES |
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