| Appleton Comprehensive Treatment Center | |
|
3301 N. Ballard Road Ste. B Appleton WI 54911-8928 | |
| (920) 733-4443 | |
| (920) 733-4796 |
| Full Name | Appleton Comprehensive Treatment Center |
|---|---|
| Speciality | Clinic/center - Methadone |
| Location | 3301 N. Ballard Road, Appleton, Wisconsin |
| Authorized Official Name and Position | Brian Phillip Farley (VP & SECRETARY) |
| Authorized Official Contact | 6158616000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Appleton Comprehensive Treatment Center 6183 Paseo Del Norte Ste 200 Carlsbad CA 92011-1155 Ph: (855) 259-2288 | Appleton Comprehensive Treatment Center 3301 N. Ballard Road Ste. B Appleton WI 54911-8928 Ph: (920) 733-4443 |
| NPI Number | 1467503193 |
|---|---|
| Provider Enumeration Date | 01/16/2007 |
| Last Update Date | 08/10/2023 |
| Certification Date | 08/10/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467503193 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (Wisconsin) | Secondary |
| 261QM2800X | Clinic/center - Methadone | (Wisconsin) | Primary |
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