OrganizationActive
Pulaski Medical, LLC
NPI 1558607481 · Methadone Clinic · Pulaski, VA
Provider details
- NPI number
- 1558607481
- Entity type
- Organization
- Primary specialty
- Methadone ClinicAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Robyn Tanis, Executive Director of Contract Mgmt(856) 533-8762
Specialties & taxonomies
Ambulatory Health Care Facilities
- Community/Behavioral Health Agency251S00000X
Agencies
- Recovery Care Clinic/Center261QR0800X
Ambulatory Health Care Facilities
Practice location
1006 E Main St
1006
Pulaski, VA 24301-5218
Phone: (540) 980-1125
Fax: (540) 908-1127
Approximate (ZIP-level) locationGet directions
Mailing address
1317 Route 73 Ste 200
Mount Laurel, NJ 08054-2202
Registry dates
- Enumerated
- 2012-12-21
- Last updated
- 2023-11-21
- Certified
- 2023-11-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.