Organization · Type 2 NPI
Epiphany Center Rome, Inc
Methadone Clinic · Rome, GA
NPI number
1386937159
Active
Practice location
308 Glen Milner Blvd, Suite 16
Rome, GA 30161-3268
Fax (706) 234-9945
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Methadone Clinic Primary | 261QM2800X | 10109M (GA) |
Methadone Clinic: An entity, facility, or distinct part of a facility providing diagnostic, and replacement maintenance treatment services related to individuals with drug addiction.
Another provider at this address
About NPI 1386937159
Epiphany Center Rome, Inc's National Provider Identifier is 1386937159, issued on May 26, 2011. The primary taxonomy on file is Methadone Clinic (261QM2800X), and the practice location is in Rome, GA. The record was last updated on May 26, 2011.