| NPI | 1194581769 |
|---|---|
| Doing Business As | KOKOMO TREATMENT SERVICES |
| Entity Type | Organization |
| Authorized Contact | ROBYN TANIS Executive Director Of Contract Mana 565-338-7628 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2800X Clinic/Center, Methadone Clinic |
| Additional Taxonomies | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2024-02-22 |
| Last Update Date | 2024-02-22 |