NPI | 1043847304 |
---|---|
Doing Business As | HARBOR MAT |
Entity Type | Organization |
Authorized Contact | CHRISTOPHER BASS CEO 856-558-3250 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM2800X Clinic/Center, Methadone Clinic |
Enumeration Date | 2020-03-26 |
Last Update Date | 2021-09-17 |