Company
Screen this subjectChronic Pain Treatment CTR
Debarred entityUnited States. Named in 1 sanctions listing.
Sanctions and listings1
- Effective
- 14 Oct 2022
Official designation
Medicaid Management Information SystemUS West Virginia Medicaid Provider Exclusions and TerminationsUnited States
Terminated Indefinitely
Violation of WV Medicaid Policy
Identifiers1
| Identifier | Number |
|---|---|
| NPI number | 1184971509 |
Addresses1
915 Toll House Avenue, Suite 103, Frederick, MD 21701
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