| NPI | 1053187310 |
|---|---|
| Doing Business As | TOOELE METHADONE TREATMENT |
| Entity Type | Organization |
| Authorized Contact | PATRICK NELSON GREEN Owner 801-792-7335 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2800X Clinic/Center, Methadone Clinic |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 207QA0401X Family Medicine, Addiction Medicine | |
| Enumeration Date | 2023-11-28 |
| Last Update Date | 2023-11-28 |