NPI | 1003511213 |
---|---|
Doing Business As | ANCHOR OF HOPE OTP |
Entity Type | Organization |
Authorized Contact | SONYA MODKINS Program Director 469-291-5288 |
Organization Subpart ? | No |
Primary Taxonomy | 2083A0300X Preventive Medicine, Addiction Medicine |
Enumeration Date | 2023-04-05 |
Last Update Date | 2023-10-26 |