Provider Demographics
NPI:1407547912
Name:THE TREATMENT CAMP
Entity type:Organization
Organization Name:THE TREATMENT CAMP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MELLONEY
Authorized Official - Middle Name:
Authorized Official - Last Name:SAILES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:870-340-6469
Mailing Address - Street 1:523 N 16TH ST
Mailing Address - Street 2:
Mailing Address - City:WEST MEMPHIS
Mailing Address - State:AR
Mailing Address - Zip Code:72301-3319
Mailing Address - Country:US
Mailing Address - Phone:870-340-6469
Mailing Address - Fax:
Practice Address - Street 1:523 N 16TH ST
Practice Address - Street 2:
Practice Address - City:WEST MEMPHIS
Practice Address - State:AR
Practice Address - Zip Code:72301-3319
Practice Address - Country:US
Practice Address - Phone:870-340-6469
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-05-16
Last Update Date:2023-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes374U00000XNursing Service Related ProvidersHome Health AideGroup - Multi-Specialty
No3747P1801XNursing Service Related ProvidersTechnicianPersonal Care AttendantGroup - Multi-Specialty