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Organization

WILMINGTON TREATMENT CENTER, LLC

Active
Other names
Wilmington Treatment Center
Organization subpart
No

Provider details

NPI number
Authorized official
BRIAN FARLEY (VICE PRESIDENT & SECRETARY)
(615) 861-6000
Entity
Organization

Contact information

Practice address
2520 TROY DR, WILMINGTON, NC 28401-7643
(910) 762-2727
(910) 762-7923
Mailing address
4020 ASPEN GROVE DR STE 900, FRANKLIN, TN 37067-3134
(615) 861-6000

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
282N00000X
General Acute Care Hospital
Primary
MHH0961
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0031A
BLUE CROSS PROVIDER NUMBE
NC
05
1902825169
NC
01
MHH0961
DHHS - DIVISION OF HEALTH SERVICE REGULATION
NC
01
MHL-065-026
DHHS - DIVISION OF HEALTH SERVICE REGULATION
NC
Enumeration date
07/19/2006
Last updated
01/20/2026
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