CHARLESTON TREATMENT CENTER, LLC
Ambulatory Health at Greenbrier St, Charleston, WV

License number
West Virginia 02
Category
Ambulatory Health
Type
Methadone
Owner
Name: JOHN PELOQUIN PHD
Title: CTC DIVISION PRESIDENT
Phone: (760) 710-0951
Address
Address
2157 Greenbrier St, Charleston, WV 25311
National Provider ID: 1720480668
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

See more information about CHARLESTON TREATMENT CENTER, LLC at bizstanding.com

CHARLESTON TREATMENT CENTER, LLC

Cupertino, CA  -  Charleston, WV

Industry:
Health Care and Social Assistance, Ambulatory Health Care Services, Outpatient Care Centers
Registration:
Jun 25, 1998
Addresses:
20400 Stevens Crk Blvd SUITE 600, Cupertino, CA 95014 (Mailing)
5400 Big Tyler Rd, Charleston, WV 25313 (Physical)
Business type:
Limited Liability Company
Organizers:
National Specialty Clinics, Llc (Member), 20400 Stevens Crk Blvd SUITE 600, Cupertino, CA 95014,Pamela B. Burke (Organizer), 20400 Stevens Crk Blvd SUITE 600, Cupertino, CA 95014

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