NPI | 1023223831 |
---|---|
Doing Business As | EAU CLAIRE METRO TREATMENT CENTER |
Entity Type | Organization |
Authorized Contact | RODNEY WILLIAMS CFO 407-351-7080 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QM2800X Clinic/Center, Methadone Clinic |
Additional Taxonomies | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: WI 2537) |
261QM2800X Clinic/Center, Methadone Clinic (Licence: WI 2537) | |
332900000X Non-Pharmacy Dispensing Site | |
Enumeration Date | 2007-05-14 |
Last Update Date | 2019-08-15 |