NPI | 1104102102 |
---|---|
Other Name | STOP SA |
Entity Type | Organization |
Authorized Contact | SCOTT THOMPSON Chief Executive Officer 918-289-0270 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM2800X Clinic/Center, Methadone Clinic |
Additional Taxonomies | 251S00000X (Licence: TX Pending) |
Enumeration Date | 2011-10-24 |
Last Update Date | 2024-06-26 |