| Longwood Comprehensive Treatment Center | |
|
651 W. Warren Avenue, Ste 100 Longwood FL 32750-4036 | |
| (407) 214-9019 | |
| (407) 830-0440 |
| Full Name | Longwood Comprehensive Treatment Center |
|---|---|
| Speciality | Clinic/center - Methadone |
| Location | 651 W. Warren Avenue, Ste 100, Longwood, Florida |
| 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 |
|---|---|
| Longwood Comprehensive Treatment Center 6183 Paseo Del Norte Suite 200 Carlsbad CA 92011-1155 Ph: (855) 259-2288 | Longwood Comprehensive Treatment Center 651 W. Warren Avenue, Ste 100 Longwood FL 32750-4036 Ph: (407) 214-9019 |
| NPI Number | 1316549538 |
|---|---|
| Provider Enumeration Date | 11/12/2020 |
| Last Update Date | 09/20/2023 |
| Certification Date | 09/20/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316549538 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Secondary |
| 261QM2800X | Clinic/center - Methadone | (* (Not Available)) | Primary |
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