| Methodist Training & Outreach Center, Inc | |
|
4a Kronprindsens Gade St. Thomas VI 00802-6451 | |
| (340) 715-2500 | |
| Not Available |
| Full Name | Methodist Training & Outreach Center, Inc |
|---|---|
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 4a Kronprindsens Gade, St. Thomas, Virgin Island |
| Authorized Official Name and Position | Erma C Derima (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 3407147782 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Methodist Training & Outreach Center, Inc Po Box 306816 St Thomas VI 00803-6816 Ph: (340) 714-7782 | Methodist Training & Outreach Center, Inc 4a Kronprindsens Gade St. Thomas VI 00802-6451 Ph: (340) 715-2500 |
| NPI Number | 1538766753 |
|---|---|
| Provider Enumeration Date | 10/01/2020 |
| Last Update Date | 10/01/2020 |
| Certification Date | 09/28/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538766753 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Primary |
| 175T00000X | Peer Specialist | (* (Not Available)) | Secondary |
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