| Lynchburg Treatment Center | |
|
4000 Murray Pl Lynchburg VA 24501-5004 | |
| (434) 439-3280 | |
| (434) 439-3288 |
| Full Name | Lynchburg Treatment Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 4000 Murray Pl, Lynchburg, Virginia |
| Authorized Official Name and Position | Brian Phillip Farley (VP & SECRETARY) |
| Authorized Official Contact | 6157169335 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Lynchburg Treatment Center 6183 Paseo Del Norte Ste 200 Carlsbad CA 92011-1151 Ph: (615) 861-6000 | Lynchburg Treatment Center 4000 Murray Pl Lynchburg VA 24501-5004 Ph: (434) 439-3280 |
| NPI Number | 1093108755 |
|---|---|
| Provider Enumeration Date | 03/05/2015 |
| Last Update Date | 01/12/2024 |
| Certification Date | 01/12/2024 |
| Medicare PECOS PAC ID | 0446684088 |
|---|---|
| Medicare Enrollment ID | O20200107001757 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093108755 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 2334-06-001 (Virginia) | Secondary |
| 261QM2800X | Clinic/center - Methadone | 2334-06-001 (Virginia) | Primary |
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