| NPI | 1003571647 |
|---|---|
| Doing Business As | ORANGE PARK TREATMENT CENTER |
| Entity Type | Organization |
| Authorized Contact | PATRICK JOHN CHUNN CFO 571-332-3200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2800X Clinic/Center, Methadone Clinic |
| Additional Taxonomies | 3336C0002X Pharmacy, Clinic Pharmacy |
| 251S00000X | |
| Enumeration Date | 2021-11-08 |
| Last Update Date | 2023-05-16 |