| Quality Addiction Management, Inc. | |
|
2357 W Mason St Green Bay WI 54303-4708 | |
| (920) 337-6740 | |
| (920) 337-6741 |
| Full Name | Quality Addiction Management, Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 2357 W Mason St, Green Bay, Wisconsin |
| 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 |
|---|---|
| Quality Addiction Management, Inc. 6183 Paseo Del Norte Ste 200 Carlsbad CA 92011-1151 Ph: (615) 861-6000 | Quality Addiction Management, Inc. 2357 W Mason St Green Bay WI 54303-4708 Ph: (920) 337-6740 |
| NPI Number | 1629282470 |
|---|---|
| Provider Enumeration Date | 05/10/2007 |
| Last Update Date | 04/12/2024 |
| Certification Date | 04/12/2024 |
| Medicare PECOS PAC ID | 4688691868 |
|---|---|
| Medicare Enrollment ID | O20200213000036 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629282470 | NPI | - | NPPES |
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