| NPI | 1043584402 |
|---|---|
| Doing Business As | CAPE GIRARDEAU METRO TREATMENT |
| Entity Type | Organization |
| Authorized Contact | RODNEY WILLIAMS Vice President 407-581-5157 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 261QM2800X Clinic/Center, Methadone Clinic |
| 3336C0002X Pharmacy, Clinic Pharmacy (Licence: MO 1339) | |
| Enumeration Date | 2012-03-02 |
| Last Update Date | 2019-08-08 |