Organization
GIFFORD STREET WELLNESS CENTER, LLC
Active
Parent organization
ACADIA HEALTHCARE COMPANY, INC.
Other names
Gifford Street Wellness Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
ACADIA HEALTHCARE COMPANY, INC.
Authorized official
BRIAN PHILLIP FARLEY (VP & SECRETARY)
(615) 861-6000
Entity
Organization
Contact information
Practice address
34 GIFFORD ST, NEW BEDFORD, MA 02744-2610
(508) 999-3126
Mailing address
6183 PASEO DEL NORTE STE 200, CARLSBAD, CA 92011-1151
(615) 861-6000
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
—
—
261QM2800X
Methadone Clinic
Primary
—
—
Other
Enumeration date
05/17/2016
Last updated
08/11/2023
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