Champaign Treatment Center, LLC

NPI #1033460498 in Champaign, Illinois

Provider Information

NPI Number: 1033460498
Entity Type: Organization
Organization Name: Champaign Treatment Center, LLC
Primary Specialty: Clinic/Center - Methadone
Enumeration Date: Sep 26, 2012
Last Updated: Jul 29, 2024

Practice Location

Address: 106 S COUNTRY FAIR DR STE C
City: Champaign
State: Illinois
ZIP Code: 61821-3064
Phone: (217) 373-8200

Authorized Official

Name: BRUCE JARVIE
Title: VP, TREASURER
Phone: (214) 379-3300

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Rehabilitation, Substance Use Disorder — Rehabilitation, Substance Use Disorder	261QR0405X
Clinic/Center - Methadone — Methadone	261QM2800X	Primary

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