NPI | 1154954097 |
---|---|
Doing Business As | OCTOBER ROAD TREATMENT CENTER |
Entity Type | Organization |
Authorized Contact | JASON HENDRICKS Chief Executive Officer 814-940-0407 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X Community/Behavioral Health |
Additional Taxonomies | 261QM2800X Clinic/Center, Methadone Clinic |
Enumeration Date | 2020-02-19 |
Last Update Date | 2025-09-25 |