NPI | 1134779283 |
---|---|
Entity Type | Organization |
Authorized Contact | PETER W GURESKY President/Medical Director 501-725-9098 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM2800X Clinic/Center, Methadone Clinic |
Enumeration Date | 2019-09-19 |
Last Update Date | 2023-12-01 |