NPI | 1174241335 |
---|---|
Doing Business As | NEW SEASON TREATMENT CENTER 29 |
Entity Type | Organization |
Authorized Contact | HECTOR ROSADO Regional Director Payor Relations 407-351-7080 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM2800X Clinic/Center, Methadone Clinic |
Additional Taxonomies | 251S00000X |
3336C0002X Pharmacy, Clinic Pharmacy | |
Enumeration Date | 2022-08-15 |
Last Update Date | 2023-05-16 |