Provider Demographics
NPI:1831329051
Name:METRO TREATMENT CENTER, INC.
Entity type:Organization
Organization Name:METRO TREATMENT CENTER, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PROGRAM DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:ADAM
Authorized Official - Middle Name:
Authorized Official - Last Name:JAMES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:316-263-1623
Mailing Address - Street 1:630 N SAINT FRANCIS ST STE C
Mailing Address - Street 2:
Mailing Address - City:WICHITA
Mailing Address - State:KS
Mailing Address - Zip Code:67214-3862
Mailing Address - Country:US
Mailing Address - Phone:316-263-1623
Mailing Address - Fax:316-263-2154
Practice Address - Street 1:630 N SAINT FRANCIS ST STE C
Practice Address - Street 2:
Practice Address - City:WICHITA
Practice Address - State:KS
Practice Address - Zip Code:67214-3862
Practice Address - Country:US
Practice Address - Phone:316-263-1623
Practice Address - Fax:316-263-2154
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-07-22
Last Update Date:2024-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS05120594261QM2800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM2800XAmbulatory Health Care FacilitiesClinic/CenterMethadone