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 (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 |