| 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 |
|---|---|
| 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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