An entity, facility, or distinct part of a facility providing diagnostic, and replacement maintenance treatment services related to individuals with drug addiction.
taxonomy 261QM2800X
Clinic/Center
Definition to come...
taxonomy 261QM0801X
Clinic/Center
Definition to come...
taxonomy 261QR0405X
Other names on file (2)
Doing-business-as, former, and alternate names recorded by NPPES.
NONE
Type code 5recorded 2020-04-06
NONE
Type code 5recorded 2019-03-05
Practice context
Multi-provider organization.
1 individual provider on file at this primary address.
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