Provider Demographics
NPI:1073123303
Name:ON CALL TREATMENT, LLC
Entity Type:Organization
Organization Name:ON CALL TREATMENT, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:MS
Authorized Official - First Name:SHERITA
Authorized Official - Middle Name:
Authorized Official - Last Name:SHERITA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:954-993-2040
Mailing Address - Street 1:564 MAIN ST STE 100
Mailing Address - Street 2:
Mailing Address - City:WALTHAM
Mailing Address - State:MA
Mailing Address - Zip Code:02452-5516
Mailing Address - Country:US
Mailing Address - Phone:617-909-5283
Mailing Address - Fax:
Practice Address - Street 1:564 MAIN ST STE 100
Practice Address - Street 2:
Practice Address - City:WALTHAM
Practice Address - State:MA
Practice Address - Zip Code:02452-5516
Practice Address - Country:US
Practice Address - Phone:617-909-5283
Practice Address - Fax:954-990-6305
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-08-02
Last Update Date:2021-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0405XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation, Substance Use Disorder
No324500000XResidential Treatment FacilitiesSubstance Abuse Rehabilitation Facility