| NPI | 1053837153 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SCOTT THOMPSON CEO 918-289-0270 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM2800X Clinic/Center Methadone (Licence: CO 1648-03) |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2017-08-21 |
| Last Update Date | 2025-02-25 |