| Quality Addiction Management, Inc. | |
|
7991 Sheridan Rd Kenosha WI 53143-5943 | |
| (262) 649-9966 | |
| (262) 395-7661 |
| Full Name | Quality Addiction Management, Inc. |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 7991 Sheridan Rd, Kenosha, Wisconsin |
| Authorized Official Name and Position | Brian Phillip Farley (VP & SECRETARY) |
| Authorized Official Contact | 6156157169 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| 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. 7991 Sheridan Rd Kenosha WI 53143-5943 Ph: (262) 649-9966 |
| NPI Number | 1720832298 |
|---|---|
| Provider Enumeration Date | 04/12/2024 |
| Last Update Date | 04/12/2024 |
| Certification Date | 04/12/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720832298 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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