NPI | 1184492555 |
---|---|
Entity Type | Organization |
Authorized Contact | MONIQUE HUNTER Dispensing Nurse Non Exempt L C 508-333-9322 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM2800X Clinic/Center, Methadone Clinic |
Enumeration Date | 2023-12-15 |
Last Update Date | 2023-12-15 |