Provider Demographics
NPI:1669049532
Name:ASCENT RECOVERY SOLUTIONS LLC
Entity type:Organization
Organization Name:ASCENT RECOVERY SOLUTIONS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PROGRAM SPONSOR/MANAGING PARTNER
Authorized Official - Prefix:
Authorized Official - First Name:DONALD
Authorized Official - Middle Name:
Authorized Official - Last Name:VIETS
Authorized Official - Suffix:
Authorized Official - Credentials:PHARMD
Authorized Official - Phone:910-770-2222
Mailing Address - Street 1:634 FAIRVIEW RD BLDG I
Mailing Address - Street 2:
Mailing Address - City:SIMPSONVILLE
Mailing Address - State:SC
Mailing Address - Zip Code:29680-6707
Mailing Address - Country:US
Mailing Address - Phone:864-228-7788
Mailing Address - Fax:864-757-8680
Practice Address - Street 1:634 FAIRVIEW RD BLDG I
Practice Address - Street 2:
Practice Address - City:SIMPSONVILLE
Practice Address - State:SC
Practice Address - Zip Code:29680-6707
Practice Address - Country:US
Practice Address - Phone:864-228-7788
Practice Address - Fax:864-757-8680
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-06-08
Last Update Date:2024-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QM2800XAmbulatory Health Care FacilitiesClinic/CenterMethadone
No207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty