| NPI | 1144437294 |
|---|---|
| Doing Business As | CENTRAL NEW MEXICO TREATMENT CENTER |
| Entity Type | Organization |
| Authorized Contact | RODNEY WILLIAMS CFO 407-351-7080 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM2800X Clinic/Center, Methadone Clinic |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| 3336C0002X Pharmacy, Clinic Pharmacy (Licence: NM CS00207026) | |
| Enumeration Date | 2007-05-17 |
| Last Update Date | 2019-09-19 |