NPI | 1023550944 |
---|---|
Doing Business As | WINSTON-SALEM COMPREHENSIVE TREATMENT CENTER |
Entity Type | Organization |
Authorized Contact | BRIAN PHILLIP FARLEY VP & Secretary 615-861-6000 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QM2800X Clinic/Center, Methadone Clinic |
Additional Taxonomies | 251S00000X |
Enumeration Date | 2016-11-09 |
Last Update Date | 2024-10-03 |