NPI | 1053918128 |
---|---|
Doing Business As | PRESQUE ISLE COMPREHENSIVE TREATMENT CENTER |
Entity Type | Organization |
Authorized Contact | BRIAN PHILLIP FARLEY VP & Secretary 615-716-9335 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QM2800X Clinic/Center, Methadone Clinic |
Enumeration Date | 2020-10-02 |
Last Update Date | 2025-04-14 |