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Organization
LANCASTER TREATMENT SPECIALISTS, LLC
Active
Organization
LANCASTER TREATMENT SPECIALISTS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRENT TYLER BRADY RPH (OWNER/PROGRAM SPONSOR)
(864) 616-5031
Entity
Organization
Contact information
Practice address
977 N MAIN ST, LANCASTER, SC 29720-2188
(803) 745-7001
(803) 745-7002
Mailing address
977 N MAIN ST, LANCASTER, SC 29720-2188
(803) 745-7001
(803) 745-7002
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
261QM2800X
Methadone Clinic
Primary
—
—
3336C0002X
Clinic Pharmacy
—
—
Other
Enumeration date
11/16/2021
Last updated
03/31/2023
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