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 |
3336C0002X Pharmacy, Clinic Pharmacy (Licence: NM CS00207026) | |
Enumeration Date | 2007-05-17 |
Last Update Date | 2019-09-19 |