Organization
ATMED TREATMENT CENTER INC
Active
Parent organization
MEDVANTX, INC.
Other names
Atmed Treatment Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
MEDVANTX, INC.
Authorized official
SCOTT PETERSON (CFO)
(858) 625-2990
Entity
Organization
Contact information
Practice address
1524 ATMED AVENUE, SUITE 122, JOHNSTON, RI 02919
(401) 273-9400
Mailing address
9276 SCRANTON RD, SUITE 100, SAN DIEGO, CA 92121-7701
Taxonomy
Speciality
Code
Description
License number
State
332900000X
Non-Pharmacy Dispensing Site
Primary
MD09384
RI
Other
Enumeration date
04/01/2008
Last updated
10/20/2016
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