Provider Demographics
NPI:1356637573
Name:TREATMENT CENTERS INC
Entity Type:Organization
Organization Name:TREATMENT CENTERS INC
Other - Org Name:SHOALS TREATMENT CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR OF LICENSING
Authorized Official - Prefix:MS
Authorized Official - First Name:JEMECE
Authorized Official - Middle Name:
Authorized Official - Last Name:GASAWAY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:214-365-6126
Mailing Address - Street 1:3430 N JACKSON HWY
Mailing Address - Street 2:
Mailing Address - City:SHEFFIELD
Mailing Address - State:AL
Mailing Address - Zip Code:35660-3512
Mailing Address - Country:US
Mailing Address - Phone:256-383-6646
Mailing Address - Fax:256-383-6654
Practice Address - Street 1:3430 N JACKSON HWY
Practice Address - Street 2:
Practice Address - City:SHEFFIELD
Practice Address - State:AL
Practice Address - Zip Code:35660-3512
Practice Address - Country:US
Practice Address - Phone:256-383-6646
Practice Address - Fax:256-383-6654
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-06-27
Last Update Date:2020-05-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
261QM0801X, 261QR0405X
ALAL-10013-M261QM2800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0405XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation, Substance Use Disorder
No261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)
No261QM2800XAmbulatory Health Care FacilitiesClinic/CenterMethadone