| American Addiction Treatment Center-gloucester | |
|
6983c Mid County Ln Hayes VA 23072-2833 | |
| (804) 824-2814 | |
| (804) 824-2817 |
| Full Name | American Addiction Treatment Center-gloucester |
|---|---|
| Speciality | Clinic/center - Methadone |
| Location | 6983c Mid County Ln, Hayes, Virginia |
| Authorized Official Name and Position | Robyn Tanis (EXECUTIVE DIRECTOR OF CONTRACT MGMT) |
| Authorized Official Contact | 8565338762 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| American Addiction Treatment Center-gloucester 1317 Route 73 Mount Laurel NJ 08054-2202 Ph: (856) 439-6111 | American Addiction Treatment Center-gloucester 6983c Mid County Ln Hayes VA 23072-2833 Ph: (804) 824-2814 |
| NPI Number | 1710540919 |
|---|---|
| Provider Enumeration Date | 04/15/2019 |
| Last Update Date | 01/12/2024 |
| Certification Date | 01/12/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710540919 | NPI | - | NPPES |
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