| NPI | 1093323222 |
|---|---|
| Doing Business As | OBOT - POSITIVE HEALTH PROGRAM |
| Entity Type | Organization |
| Authorized Contact | HASIJA SISIC Program Director 628-206-5239 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM2800X Clinic/Center, Methadone Clinic |
| Enumeration Date | 2020-07-14 |
| Last Update Date | 2020-07-14 |