| NPI | 1043421985 |
|---|---|
| Doing Business As | MAAS METH MAINTENANCE |
| Entity Type | Organization |
| Authorized Contact | ASHER DELERME Executive Director 203-331-4728 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: CT SA-0120) |
| Additional Taxonomies | 261QM2800X Clinic/Center, Methadone Clinic (Licence: CT SA- 0120) |
| Enumeration Date | 2007-05-24 |
| Last Update Date | 2013-03-22 |