Provider Demographics
NPI:1528202926
Name:SELLATI & CO., INC.
Entity Type:Organization
Organization Name:SELLATI & CO., INC.
Other - Org Name:RALEIGH METHADONE TREATMENT CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR OF QUALITY AND COMPLIANCE
Authorized Official - Prefix:MRS
Authorized Official - First Name:JANIE
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:LARCH
Authorized Official - Suffix:
Authorized Official - Credentials:LPC, LSATP
Authorized Official - Phone:804-977-2892
Mailing Address - Street 1:1850 LEE RD
Mailing Address - Street 2:SUITE 115
Mailing Address - City:WINTER PARK
Mailing Address - State:FL
Mailing Address - Zip Code:32789
Mailing Address - Country:US
Mailing Address - Phone:407-677-1757
Mailing Address - Fax:407-678-1074
Practice Address - Street 1:6118 ST GILES STREET
Practice Address - Street 2:
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27612
Practice Address - Country:US
Practice Address - Phone:919-781-5507
Practice Address - Fax:919-882-8117
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:SELLATI & CO., INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2009-04-29
Last Update Date:2023-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCMHL-092-523261QM2800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM2800XAmbulatory Health Care FacilitiesClinic/CenterMethadone