NPI | 1093849994 |
---|---|
Doing Business As | CONCORD METRO TREATMENT CENTER |
Entity Type | Organization |
Authorized Contact | MARIA JACKSON CFO 407-351-7080 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QM2800X Clinic/Center, Methadone Clinic |
Additional Taxonomies | 251S00000X |
261Q00000X Clinic/Center (Licence: NH 060402) | |
3336C0002X Pharmacy, Clinic Pharmacy (Licence: NH 6007) | |
Enumeration Date | 2007-03-15 |
Last Update Date | 2022-11-09 |