# MIDLANDS CENTER FOR ADDICTION TREATMENT

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1932649696
- **Authorized official:** MR. BRIAN F LANN (MANAGING PARTNER)
- **Authorized official phone:** (803) 262-2992

## Contact information

- **Practice address:** 2712 MIDDLEBURG DR, SUITE 206, COLUMBIA, SC 29204-2415
- **Practice address phone:** (803) 262-2992
- **Practice address fax:** (855) 749-6876
- **Mailing address:** 2712 MIDDLEBURG DR, SUITE 206, COLUMBIA, SC 29204-2415
- **Mailing address phone:** (803) 262-2992
- **Mailing address fax:** (855) 749-6876

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261Q00000X | Clinic/Center | 5295 | SC | Yes |

## Other

- **Enumeration date:** 02/28/2017
- **Last updated:** 02/28/2017