| NPI | 1043720113 |
|---|---|
| Doing Business As | HABIT OPCO-MANCHESTER |
| Entity Type | Organization |
| Authorized Contact | BRIAN PHILLIP FARLEY VP & Secretary 615-861-6000 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM2800X Clinic/Center, Methadone Clinic (Licence: NH 090622) |
| Enumeration Date | 2017-10-03 |
| Last Update Date | 2023-08-11 |